Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.78 / $632.23 / $14,482.00	Facility		$199.78	$632.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.95 / $284.42 / $529.30	Professional		$171.95	$284.42	$529.30
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 $228.99 / $597.98 / $1,579.29	Professional		$228.99	$597.98	$1,579.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $834.44 / $975.11 / $1,495.84	Facility		$834.44	$975.11	$1,495.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $595.34 / $1,217.65	Professional		$242.84	$595.34	$1,217.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $275.41 / $496.59	Facility		$149.32	$275.41	$496.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.53 / $299.16 / $1,100.00	Facility		$165.53	$299.16	$1,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $1,023.57 / $2,306.48	Professional		$291.69	$1,023.57	$2,306.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $262.38 / $630.53	Professional		$50.00	$262.38	$630.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $147.04 / $264.79 / $505.78	Facility		$147.04	$264.79	$505.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $403.55 / $669.60 / $1,056.10	Professional		$403.55	$669.60	$1,056.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $308.79 / $1,289.64 / $2,000.00	Facility		$308.79	$1,289.64	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $290.68 / $1,320.80 / $2,306.48	Professional		$290.68	$1,320.80	$2,306.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $644.79 / $644.79 / $1,150.65	Professional		$644.79	$644.79	$1,150.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $694.61 / $1,000.76 / $1,576.41	Professional		$694.61	$1,000.76	$1,576.41
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 $286.80 / $557.66 / $1,334.93	Professional		$286.80	$557.66	$1,334.93