Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.76 / $2,902.24 / $8,745.60	Facility		$212.76	$2,902.24	$8,745.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.47 / $283.39 / $2,044.90	Professional		$199.47	$283.39	$2,044.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.38 / $513.11 / $1,110.20	Professional		$193.38	$513.11	$1,110.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.64 / $600.23 / $968.15	Facility		$513.64	$600.23	$968.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.17 / $618.60 / $823.21	Professional		$270.17	$618.60	$823.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $212.76 / $283.50 / $731.29	Facility		$212.76	$283.50	$731.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.76 / $3,193.00 / $8,384.00	Facility		$212.76	$3,193.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $472.06 / $1,038.50	Professional		$227.86	$472.06	$1,038.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $264.24 / $402.72	Professional		$85.00	$264.24	$402.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $212.76 / $283.50 / $731.29	Facility		$212.76	$283.50	$731.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $388.05 / $599.21 / $705.83	Professional		$388.05	$599.21	$705.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.66 / $959.10 / $1,656.00	Professional		$275.66	$959.10	$1,656.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $417.80 / $957.70 / $957.70	Professional		$417.80	$957.70	$957.70
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $9,134.00	Facility		$4,614.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.88 / $563.78 / $910.87	Professional		$223.88	$563.78	$910.87