Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.54 / $409.91 / $14,482.00	Facility		$93.54	$409.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $296.77 / $418.79	Professional		$80.50	$296.77	$418.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.92 / $426.41 / $1,659.04	Professional		$123.92	$426.41	$1,659.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.92 / $1,055.14 / $1,618.61	Facility		$902.92	$1,055.14	$1,618.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $349.88 / $1,310.09	Professional		$135.97	$349.88	$1,310.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $85.47 / $261.47 / $563.97	Facility		$85.47	$261.47	$563.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.47 / $314.69 / $1,209.00	Facility		$85.47	$314.69	$1,209.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $347.90 / $996.24 / $2,453.12	Professional		$347.90	$996.24	$2,453.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $419.98 / $713.85	Professional		$70.00	$419.98	$713.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $85.47 / $261.47 / $563.97	Facility		$85.47	$261.47	$563.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $184.10 / $412.91 / $1,067.00	Professional		$184.10	$412.91	$1,067.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $505.70 / $505.70	Facility		$148.19	$505.70	$505.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $163.85 / $1,118.74 / $2,453.12	Professional		$163.85	$1,118.74	$2,453.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $427.19 / $1,166.65 / $1,691.56	Professional		$427.19	$1,166.65	$1,691.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,641.00 / $2,202.90	Facility		$1,034.00	$1,641.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $293.85 / $599.69 / $1,476.04	Professional		$293.85	$599.69	$1,476.04