Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.55 / $903.42 / $14,482.00	Facility		$320.55	$903.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.69 / $410.90 / $842.91	Professional		$280.69	$410.90	$842.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $8,746.00 / $15,579.70	Facility		$5,479.00	$8,746.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.93 / $845.90 / $2,389.15	Professional		$368.93	$845.90	$2,389.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,164.25 / $1,360.51 / $2,087.06	Facility		$1,164.25	$1,360.51	$2,087.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.16 / $883.74 / $1,769.63	Professional		$403.16	$883.74	$1,769.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $280.69 / $448.77 / $728.38	Facility		$280.69	$448.77	$728.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $283.26 / $479.49 / $7,301.00	Facility		$283.26	$479.49	$7,301.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.53 / $1,504.37 / $3,220.08	Professional		$446.53	$1,504.37	$3,220.08
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 $280.69 / $445.39 / $728.38	Facility		$280.69	$445.39	$728.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $640.40 / $997.61 / $1,485.36	Professional		$640.40	$997.61	$1,485.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $490.89 / $2,040.54 / $16,547.20	Facility		$490.89	$2,040.54	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $457.06 / $1,847.43 / $3,220.08	Professional		$457.06	$1,847.43	$3,220.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,058.20 / $1,058.20 / $1,624.15	Professional		$1,058.20	$1,058.20	$1,624.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,154.29 / $1,467.54 / $2,204.96	Professional		$1,154.29	$1,467.54	$2,204.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.46 / $871.64 / $1,969.60	Professional		$431.46	$871.64	$1,969.60