Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.97 / $1,212.02 / $14,482.00	Facility		$365.97	$1,212.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.06 / $365.97 / $939.43	Professional		$308.06	$365.97	$939.43
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 $324.31 / $750.71 / $1,921.67	Professional		$324.31	$750.71	$1,921.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $861.47 / $1,006.70 / $1,544.30	Facility		$861.47	$1,006.70	$1,544.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.13 / $1,083.40 / $1,364.01	Professional		$409.13	$1,083.40	$1,364.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $325.07 / $448.14 / $674.30	Facility		$325.07	$448.14	$674.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $318.89 / $493.50 / $4,377.80	Facility		$318.89	$493.50	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $352.96 / $759.37 / $2,475.52	Professional		$352.96	$759.37	$2,475.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $339.92 / $741.44	Professional		$58.39	$339.92	$741.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $318.89 / $441.76 / $674.30	Facility		$318.89	$441.76	$674.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $601.79 / $802.60 / $1,379.90	Professional		$601.79	$802.60	$1,379.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $377.41 / $6,286.30 / $6,286.30	Facility		$377.41	$6,286.30	$6,286.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.03 / $1,604.35 / $2,475.52	Professional		$462.03	$1,604.35	$2,475.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.42 / $1,203.42 / $1,203.42	Professional		$1,203.42	$1,203.42	$1,203.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,098.68 / $1,665.46 / $1,665.46	Professional		$1,098.68	$1,665.46	$1,665.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.09 / $659.56 / $1,447.93	Professional		$336.09	$659.56	$1,447.93