Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.46 / $770.54 / $14,482.00	Facility		$241.46	$770.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.32 / $330.08 / $637.19	Professional		$208.32	$330.08	$637.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.47 / $712.53 / $1,876.45	Professional		$268.47	$712.53	$1,876.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,020.07 / $1,192.03 / $1,828.60	Facility		$1,020.07	$1,192.03	$1,828.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.87 / $708.09 / $1,516.38	Professional		$300.87	$708.09	$1,516.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $158.38 / $324.31 / $616.42	Facility		$158.38	$324.31	$616.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.40 / $352.32 / $5,080.00	Facility		$171.40	$352.32	$5,080.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.93 / $1,102.58 / $2,803.36	Professional		$333.93	$1,102.58	$2,803.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $286.38 / $783.25	Professional		$32.22	$286.38	$783.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $155.04 / $318.42 / $616.42	Facility		$155.04	$318.42	$616.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $479.73 / $806.40 / $1,271.86	Professional		$479.73	$806.40	$1,271.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $367.72 / $1,551.18 / $7,909.30	Facility		$367.72	$1,551.18	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $335.26 / $1,611.72 / $2,803.36	Professional		$335.26	$1,611.72	$2,803.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $784.84 / $784.84 / $1,407.10	Professional		$784.84	$784.84	$1,407.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $786.24 / $1,109.20 / $1,923.61	Professional		$786.24	$1,109.20	$1,923.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $666.50 / $1,509.62	Professional		$333.25	$666.50	$1,509.62