Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.68 / $484.67 / $14,482.00	Facility		$238.68	$484.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.54 / $246.11 / $808.65	Professional		$223.54	$246.11	$808.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.85 / $632.98 / $1,611.96	Professional		$234.85	$632.98	$1,611.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.54 / $707.64 / $1,141.39	Facility		$605.54	$707.64	$1,141.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.95 / $734.78 / $970.67	Professional		$320.95	$734.78	$970.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $236.95 / $294.00 / $471.80	Facility		$236.95	$294.00	$471.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $238.68 / $4,103.00 / $8,783.00	Facility		$238.68	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $278.24 / $640.26 / $1,612.53	Professional		$278.24	$640.26	$1,612.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $325.37 / $558.47	Professional		$85.00	$325.37	$558.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $238.68 / $313.30 / $471.80	Facility		$238.68	$313.30	$471.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $462.15 / $713.63 / $971.17	Professional		$462.15	$713.63	$971.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $1,164.09 / $1,761.36	Professional		$327.44	$1,164.09	$1,761.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.51 / $1,207.51 / $1,207.51	Professional		$1,207.51	$1,207.51	$1,207.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.89 / $1,389.37 / $1,389.37	Professional		$1,149.89	$1,389.37	$1,389.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $713.22 / $1,137.66	Professional		$274.89	$713.22	$1,137.66