Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.14 / $652.82 / $14,482.00	Facility		$322.14	$652.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.47 / $331.67 / $1,085.93	Professional		$301.47	$331.67	$1,085.93
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 $317.07 / $849.56 / $2,177.46	Professional		$317.07	$849.56	$2,177.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.32 / $955.10 / $1,540.54	Facility		$817.32	$955.10	$1,540.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.31 / $991.23 / $1,307.11	Professional		$432.31	$991.23	$1,307.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $319.14 / $422.01 / $630.00	Facility		$319.14	$422.01	$630.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $322.14 / $4,103.00 / $8,783.00	Facility		$322.14	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $375.89 / $864.79 / $2,175.80	Professional		$375.89	$864.79	$2,175.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $437.31 / $783.93	Professional		$85.00	$437.31	$783.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $322.14 / $422.01 / $630.00	Facility		$322.14	$422.01	$630.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $622.70 / $961.54 / $1,310.42	Professional		$622.70	$961.54	$1,310.42
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 $441.72 / $1,572.35 / $2,378.08	Professional		$441.72	$1,572.35	$2,378.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.15 / $1,631.15 / $1,631.15	Professional		$1,631.15	$1,631.15	$1,631.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,550.67 / $1,874.30 / $1,874.30	Professional		$1,550.67	$1,874.30	$1,874.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.21 / $774.36 / $1,535.49	Professional		$375.21	$774.36	$1,535.49