Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.58 / $561.79 / $14,482.00	Facility		$277.58	$561.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.77 / $285.48 / $926.66	Professional		$259.77	$285.48	$926.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.45 / $725.29 / $1,874.01	Professional		$273.45	$725.29	$1,874.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $702.87 / $821.36 / $1,324.83	Facility		$702.87	$821.36	$1,324.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.04 / $853.11 / $1,125.29	Professional		$372.04	$853.11	$1,125.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $274.66 / $364.41 / $546.40	Facility		$274.66	$364.41	$546.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $277.58 / $4,103.00 / $8,783.00	Facility		$277.58	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.19 / $745.50 / $1,873.07	Professional		$324.19	$745.50	$1,873.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $374.37 / $634.49	Professional		$85.00	$374.37	$634.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $277.58 / $382.83 / $546.40	Facility		$277.58	$382.83	$546.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $535.60 / $827.05 / $1,128.08	Professional		$535.60	$827.05	$1,128.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $1,355.45 / $2,046.48	Professional		$380.18	$1,355.45	$2,046.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.84 / $1,403.84 / $1,403.84	Professional		$1,403.84	$1,403.84	$1,403.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,323.24 / $1,613.16 / $1,613.16	Professional		$1,323.24	$1,613.16	$1,613.16
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 $324.19 / $920.30 / $1,501.40	Professional		$324.19	$920.30	$1,501.40