Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.17 / $880.99 / $14,482.00	Facility		$317.17	$880.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $391.90 / $824.59	Professional		$274.64	$391.90	$824.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.35 / $813.89 / $2,309.85	Professional		$348.35	$813.89	$2,309.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.82 / $1,333.14 / $2,045.06	Facility		$1,140.82	$1,333.14	$2,045.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.89 / $861.99 / $1,769.66	Professional		$388.89	$861.99	$1,769.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $419.47 / $714.69	Facility		$274.64	$419.47	$714.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.04 / $441.39 / $1,209.00	Facility		$279.04	$441.39	$1,209.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $415.54 / $1,388.76 / $3,156.32	Professional		$415.54	$1,388.76	$3,156.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $373.18 / $926.76	Professional		$50.00	$373.18	$926.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $417.70 / $714.69	Facility		$274.64	$417.70	$714.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $626.82 / $974.73 / $1,450.16	Professional		$626.82	$974.73	$1,450.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $483.77 / $2,000.00 / $2,020.02	Facility		$483.77	$2,000.00	$2,020.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $442.70 / $1,810.40 / $3,156.32	Professional		$442.70	$1,810.40	$3,156.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.60 / $1,035.60 / $1,570.22	Professional		$1,035.60	$1,035.60	$1,570.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.18 / $1,450.72 / $2,160.73	Professional		$1,054.18	$1,450.72	$2,160.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $398.52 / $794.78 / $1,817.23	Professional		$398.52	$794.78	$1,817.23