Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.41 / $515.41 / $17,823.00	Facility		$515.41	$515.41	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.78 / $515.41 / $6,249.99	Professional		$454.78	$515.41	$6,249.99
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 $466.00 / $1,057.26 / $2,948.78	Professional		$466.00	$1,057.26	$2,948.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,344.47 / $1,571.12 / $2,410.14	Facility		$1,344.47	$1,571.12	$2,410.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,916.98 / $2,178.39	Professional		$737.10	$1,916.98	$2,178.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $461.94 / $603.03 / $1,238.08	Facility		$461.94	$603.03	$1,238.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $462.87 / $689.07 / $6,283.00	Facility		$462.87	$689.07	$6,283.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.18 / $1,046.40 / $5,925.00	Professional		$498.18	$1,046.40	$5,925.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $90.97 / $1,057.31	Professional		$58.40	$90.97	$1,057.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $461.94 / $603.03 / $1,238.08	Facility		$461.94	$603.03	$1,238.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $650.72 / $1,194.24 / $1,719.30	Professional		$650.72	$1,194.24	$1,719.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $2,902.40 / $2,902.40	Facility		$564.91	$2,902.40	$2,902.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $879.83 / $5,158.50 / $5,925.00	Professional		$879.83	$5,158.50	$5,925.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.11 / $1,902.11 / $1,902.11	Professional		$1,902.11	$1,902.11	$1,902.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,703.96 / $2,703.96 / $2,703.96	Professional		$2,703.96	$2,703.96	$2,703.96
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 $498.18 / $989.19 / $2,287.21	Professional		$498.18	$989.19	$2,287.21