Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.75 / $735.75 / $14,482.00	Facility		$396.75	$735.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.05 / $396.75 / $1,088.26	Professional		$348.05	$396.75	$1,088.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.94 / $813.85 / $2,103.66	Professional		$358.94	$813.85	$2,103.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.54 / $1,069.88 / $1,641.22	Facility		$915.54	$1,069.88	$1,641.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.53 / $1,263.18 / $1,470.46	Professional		$485.53	$1,263.18	$1,470.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $358.27 / $457.80 / $786.00	Facility		$358.27	$457.80	$786.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.89 / $509.40 / $4,821.00	Facility		$350.89	$509.40	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $404.56 / $831.15 / $2,723.84	Professional		$404.56	$831.15	$2,723.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $608.15 / $969.48	Professional		$85.00	$608.15	$969.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $358.27 / $457.80 / $776.02	Facility		$358.27	$457.80	$776.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $685.20 / $913.83 / $1,487.59	Professional		$685.20	$913.83	$1,487.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $1,728.79 / $1,728.79	Facility		$434.58	$1,728.79	$1,728.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $647.82 / $1,792.85 / $2,723.84	Professional		$647.82	$1,792.85	$2,723.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,326.48 / $1,326.48 / $1,326.48	Professional		$1,326.48	$1,326.48	$1,326.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.08 / $1,795.41 / $1,795.41	Professional		$1,192.08	$1,795.41	$1,795.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $785.27 / $1,857.64	Professional		$395.04	$785.27	$1,857.64