Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.08 / $727.20 / $14,482.00	Facility		$250.08	$727.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $327.25 / $647.41	Professional		$213.45	$327.25	$647.41
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 $281.61 / $668.94 / $1,913.49	Professional		$281.61	$668.94	$1,913.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.36 / $1,093.05 / $1,676.76	Facility		$935.36	$1,093.05	$1,676.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $736.80 / $1,454.63	Professional		$325.00	$736.80	$1,454.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $225.24 / $340.93 / $660.37	Facility		$225.24	$340.93	$660.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $225.24 / $361.53 / $2,783.00	Facility		$225.24	$361.53	$2,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $348.28 / $1,128.59 / $2,606.40	Professional		$348.28	$1,128.59	$2,606.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $324.43 / $777.62	Professional		$50.00	$324.43	$777.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $217.35 / $338.93 / $660.37	Facility		$217.35	$338.93	$660.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $508.32 / $805.59 / $1,213.96	Professional		$508.32	$805.59	$1,213.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $388.44 / $1,605.72 / $3,590.15	Facility		$388.44	$1,605.72	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $423.10 / $1,488.11 / $2,606.40	Professional		$423.10	$1,488.11	$2,606.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $802.09 / $1,136.23 / $1,776.14	Professional		$802.09	$1,136.23	$1,776.14
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 $334.03 / $665.44 / $1,501.40	Professional		$334.03	$665.44	$1,501.40