Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $913.12 / $14,482.00	Facility		$273.20	$913.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $273.20 / $840.46	Professional		$231.05	$273.20	$840.46
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 $232.79 / $560.44 / $1,442.94	Professional		$232.79	$560.44	$1,442.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.51 / $761.34 / $1,167.92	Facility		$651.51	$761.34	$1,167.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.06 / $783.41 / $1,024.20	Professional		$308.06	$783.41	$1,024.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $238.33 / $321.94 / $489.58	Facility		$238.33	$321.94	$489.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.93 / $349.15 / $7,318.00	Facility		$234.93	$349.15	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $249.84 / $549.10 / $1,847.12	Professional		$249.84	$549.10	$1,847.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $351.62 / $519.02	Professional		$122.81	$351.62	$519.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $231.68 / $319.66 / $489.58	Facility		$231.68	$319.66	$489.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $451.80 / $602.54 / $1,036.14	Professional		$451.80	$602.54	$1,036.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $280.11 / $7,909.30 / $7,909.30	Facility		$280.11	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.93 / $1,160.09 / $1,847.12	Professional		$346.93	$1,160.09	$1,847.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $891.35 / $891.35 / $891.35	Professional		$891.35	$891.35	$891.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $552.65 / $1,250.56 / $1,250.56	Professional		$552.65	$1,250.56	$1,250.56
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 $239.42 / $461.53 / $1,046.99	Professional		$239.42	$461.53	$1,046.99