Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.36 / $521.73 / $14,482.00	Facility		$258.36	$521.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.19 / $267.97 / $871.88	Professional		$241.19	$267.97	$871.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.05 / $654.63 / $1,767.56	Professional		$257.05	$654.63	$1,767.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $652.41 / $762.39 / $1,229.71	Facility		$652.41	$762.39	$1,229.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.50 / $793.22 / $1,055.43	Professional		$345.50	$793.22	$1,055.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $258.36 / $375.85 / $3,544.32	Facility		$258.36	$375.85	$3,544.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $258.36 / $3,544.32 / $13,442.00	Facility		$258.36	$3,544.32	$13,442.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $306.54 / $855.76 / $4,053.37	Professional		$306.54	$855.76	$4,053.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $352.44 / $634.49	Professional		$85.00	$352.44	$634.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $258.36 / $375.85 / $3,544.32	Facility		$258.36	$375.85	$3,544.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $498.55 / $769.84 / $1,062.00	Professional		$498.55	$769.84	$1,062.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,217.09 / $20,217.09 / $20,217.09	Facility		$20,217.09	$20,217.09	$20,217.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $353.49 / $4,249.32 / $7,676.43	Professional		$353.49	$4,249.32	$7,676.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,324.12 / $1,324.12 / $1,324.12	Professional		$1,324.12	$1,324.12	$1,324.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $649.91 / $1,499.92 / $1,499.92	Professional		$649.91	$1,499.92	$1,499.92
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,733.00 / $14,978.00	Facility		$7,301.00	$11,733.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.66 / $780.64 / $1,274.82	Professional		$304.66	$780.64	$1,274.82