Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $608.16 / $14,482.00	Facility		$180.87	$608.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $253.59 / $525.67	Professional		$152.77	$253.59	$525.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $3,168.00 / $5,962.00	Facility		$1,139.00	$3,168.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.99 / $543.59 / $1,548.84	Professional		$210.99	$543.59	$1,548.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.05 / $989.85 / $1,518.45	Facility		$847.05	$989.85	$1,518.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.98 / $578.35 / $1,303.08	Professional		$225.98	$578.35	$1,303.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $155.87 / $281.87 / $526.16	Facility		$155.87	$281.87	$526.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.84 / $297.08 / $2,783.00	Facility		$155.84	$297.08	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $275.38 / $892.49 / $2,310.48	Professional		$275.38	$892.49	$2,310.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $231.11 / $635.12	Professional		$32.22	$231.11	$635.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $153.25 / $273.06 / $526.16	Facility		$153.25	$273.06	$526.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $358.29 / $662.40 / $1,044.75	Professional		$358.29	$662.40	$1,044.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $272.91 / $1,161.59 / $7,909.30	Facility		$272.91	$1,161.59	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $1,259.00 / $2,310.48	Professional		$257.45	$1,259.00	$2,310.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $550.98 / $833.14 / $1,591.10	Professional		$550.98	$833.14	$1,591.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $565.80 / $1,236.96	Professional		$269.52	$565.80	$1,236.96