Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.03 / $1,327.35 / $14,482.00	Facility		$397.03	$1,327.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.58 / $397.03 / $1,030.60	Professional		$341.58	$397.03	$1,030.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.68 / $814.42 / $2,095.98	Professional		$344.68	$814.42	$2,095.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.37 / $1,103.58 / $1,692.91	Facility		$944.37	$1,103.58	$1,692.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.11 / $988.42 / $1,487.75	Professional		$401.11	$988.42	$1,487.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $343.35 / $440.28 / $731.34	Facility		$343.35	$440.28	$731.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.35 / $501.61 / $10,843.00	Facility		$343.35	$501.61	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $351.75 / $787.35 / $2,705.52	Professional		$351.75	$787.35	$2,705.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $325.28 / $787.18	Professional		$50.00	$325.28	$787.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $341.58 / $438.34 / $731.34	Facility		$341.58	$438.34	$731.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $900.23 / $1,505.08	Professional		$675.00	$900.23	$1,505.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $418.49 / $11,102.00 / $11,102.00	Facility		$418.49	$11,102.00	$11,102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $591.88 / $1,726.65 / $2,705.52	Professional		$591.88	$1,726.65	$2,705.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.61 / $1,317.61 / $1,317.61	Professional		$1,317.61	$1,317.61	$1,317.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,203.22 / $1,816.54 / $1,816.54	Professional		$1,203.22	$1,816.54	$1,816.54
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $355.42 / $787.35 / $1,789.05	Professional		$355.42	$787.35	$1,789.05