Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $451.60 / $14,482.00	Facility		$243.82	$451.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $243.82 / $668.84	Professional		$211.20	$243.82	$668.84
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 $220.74 / $500.14 / $1,292.15	Professional		$220.74	$500.14	$1,292.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.20 / $658.14 / $1,009.61	Facility		$563.20	$658.14	$1,009.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.44 / $776.27 / $903.90	Professional		$294.44	$776.27	$903.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $220.24 / $280.89 / $483.00	Facility		$220.24	$280.89	$483.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.85 / $312.70 / $4,821.00	Facility		$215.85	$312.70	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.39 / $510.19 / $1,675.20	Professional		$245.39	$510.19	$1,675.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $353.06 / $549.67	Professional		$85.00	$353.06	$549.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $220.24 / $280.89 / $477.07	Facility		$220.24	$280.89	$477.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $420.60 / $560.94 / $914.43	Professional		$420.60	$560.94	$914.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $1,061.19 / $1,061.19	Facility		$267.61	$1,061.19	$1,061.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $397.71 / $1,101.80 / $1,675.20	Professional		$397.71	$1,101.80	$1,675.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $814.76 / $814.76 / $814.76	Professional		$814.76	$814.76	$814.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $729.58 / $1,103.68 / $1,103.68	Professional		$729.58	$1,103.68	$1,103.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.40 / $482.59 / $994.37	Professional		$242.40	$482.59	$994.37