Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.08 / $809.30 / $14,482.00	Facility		$258.08	$809.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.41 / $356.55 / $779.64	Professional		$222.41	$356.55	$779.64
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 $290.62 / $764.39 / $1,972.73	Professional		$290.62	$764.39	$1,972.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,070.53 / $1,251.00 / $1,919.07	Facility		$1,070.53	$1,251.00	$1,919.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.45 / $750.31 / $1,617.01	Professional		$321.45	$750.31	$1,617.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $237.11 / $375.45 / $669.01	Facility		$237.11	$375.45	$669.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.00 / $390.56 / $5,080.00	Facility		$239.00	$390.56	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $359.69 / $1,171.21 / $2,945.60	Professional		$359.69	$1,171.21	$2,945.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $292.98 / $783.25	Professional		$32.22	$292.98	$783.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $228.91 / $366.73 / $669.01	Facility		$228.91	$366.73	$669.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $512.91 / $847.44 / $1,336.60	Professional		$512.91	$847.44	$1,336.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $393.87 / $1,654.50 / $7,909.30	Facility		$393.87	$1,654.50	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $359.07 / $1,692.41 / $2,945.60	Professional		$359.07	$1,692.41	$2,945.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $839.50 / $1,479.31	Professional		$839.50	$839.50	$1,479.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $842.13 / $1,183.29 / $2,019.98	Professional		$842.13	$1,183.29	$2,019.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,754.00 / $8,384.00	Facility		$4,103.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.49 / $763.27 / $1,596.78	Professional		$352.49	$763.27	$1,596.78