Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.85 / $838.04 / $14,482.00	Facility		$312.85	$838.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $375.64 / $820.25	Professional		$264.06	$375.64	$820.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $826.04 / $2,249.79	Professional		$336.26	$826.04	$2,249.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,105.67 / $1,292.07 / $1,982.07	Facility		$1,105.67	$1,292.07	$1,982.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.68 / $823.92 / $1,564.35	Professional		$336.68	$823.92	$1,564.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $207.39 / $375.64 / $694.22	Facility		$207.39	$375.64	$694.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.71 / $409.71 / $2,783.00	Facility		$227.71	$409.71	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.80 / $1,256.21 / $3,029.44	Professional		$363.80	$1,256.21	$3,029.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $355.89 / $852.65	Professional		$50.00	$355.89	$852.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $207.54 / $375.37 / $694.22	Facility		$207.54	$375.37	$694.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $601.66 / $925.40 / $1,372.94	Professional		$601.66	$925.40	$1,372.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $451.65 / $1,951.20 / $2,000.00	Facility		$451.65	$1,951.20	$2,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $420.85 / $1,745.42 / $3,029.44	Professional		$420.85	$1,745.42	$3,029.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,041.80 / $1,041.80 / $1,553.90	Professional		$1,041.80	$1,041.80	$1,553.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $932.05 / $1,407.37 / $2,083.21	Professional		$932.05	$1,407.37	$2,083.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,736.00 / $3,583.00 / $5,471.00	Facility		$1,736.00	$3,583.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.91 / $733.39 / $1,765.20	Professional		$371.91	$733.39	$1,765.20