Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.17 / $988.95 / $14,482.00	Facility		$299.17	$988.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $299.17 / $458.58	Professional		$254.00	$299.17	$458.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.29 / $552.30 / $1,664.11	Professional		$272.29	$552.30	$1,664.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.37 / $816.10 / $1,251.92	Facility		$698.37	$816.10	$1,251.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.38 / $979.53 / $1,113.09	Professional		$361.38	$979.53	$1,113.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $266.04 / $330.14 / $541.16	Facility		$266.04	$330.14	$541.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $381.21 / $4,377.80	Facility		$257.89	$381.21	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $295.89 / $590.03 / $2,024.32	Professional		$295.89	$590.03	$2,024.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $473.57 / $705.79	Professional		$70.00	$473.57	$705.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $257.89 / $333.92 / $548.48	Facility		$257.89	$333.92	$548.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.80 / $650.55 / $1,126.07	Professional		$487.80	$650.55	$1,126.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $308.95 / $3,590.15 / $3,590.15	Facility		$308.95	$3,590.15	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $442.83 / $1,347.10 / $2,024.32	Professional		$442.83	$1,347.10	$2,024.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $999.32 / $999.32 / $999.32	Professional		$999.32	$999.32	$999.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,359.10 / $1,359.10 / $1,359.10	Professional		$1,359.10	$1,359.10	$1,359.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.91 / $542.62 / $1,215.76	Professional		$286.91	$542.62	$1,215.76