Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.38 / $804.11 / $14,482.00	Facility		$315.38	$804.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.23 / $381.76 / $695.89	Professional		$272.23	$381.76	$695.89
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 $348.28 / $803.92 / $2,121.03	Professional		$348.28	$803.92	$2,121.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,052.51 / $1,229.94 / $1,886.76	Facility		$1,052.51	$1,229.94	$1,886.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.39 / $786.53 / $1,632.69	Professional		$378.39	$786.53	$1,632.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $278.25 / $398.48 / $749.40	Facility		$278.25	$398.48	$749.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.64 / $428.86 / $4,614.00	Facility		$280.64	$428.86	$4,614.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $1,288.26 / $2,915.36	Professional		$398.00	$1,288.26	$2,915.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $355.39 / $855.43	Professional		$50.00	$355.39	$855.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $278.25 / $394.45 / $749.40	Facility		$278.25	$394.45	$749.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $604.11 / $912.36 / $1,330.92	Professional		$604.11	$912.36	$1,330.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $476.27 / $2,015.88 / $7,909.30	Facility		$476.27	$2,015.88	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $416.25 / $1,670.27 / $2,915.36	Professional		$416.25	$1,670.27	$2,915.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.93 / $1,029.93 / $1,441.86	Professional		$1,029.93	$1,029.93	$1,441.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.43 / $1,442.59 / $1,993.50	Professional		$1,026.43	$1,442.59	$1,993.50
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 $380.88 / $777.98 / $1,680.14	Professional		$380.88	$777.98	$1,680.14