Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.19 / $613.76 / $14,482.00	Facility		$321.19	$613.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $321.19 / $999.84	Professional		$303.52	$321.19	$999.84
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 $294.22 / $737.73 / $1,693.92	Professional		$294.22	$737.73	$1,693.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.26 / $902.45 / $1,455.61	Facility		$772.26	$902.45	$1,455.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.44 / $932.18 / $1,235.53	Professional		$406.44	$932.18	$1,235.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $300.06 / $375.79 / $586.48	Facility		$300.06	$375.79	$586.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $321.19 / $4,103.00 / $8,783.00	Facility		$321.19	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $347.81 / $717.21 / $1,583.77	Professional		$347.81	$717.21	$1,583.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $272.77 / $667.32	Professional		$57.73	$272.77	$667.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $300.06 / $375.79 / $586.48	Facility		$300.06	$375.79	$586.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $584.35 / $902.33 / $1,062.89	Professional		$584.35	$902.33	$1,062.89
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 $415.42 / $1,459.60 / $2,227.44	Professional		$415.42	$1,459.60	$2,227.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $813.61 / $813.61 / $813.61	Professional		$813.61	$813.61	$813.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $572.54 / $1,443.21 / $1,443.21	Professional		$572.54	$1,443.21	$1,443.21
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 $347.79 / $893.52 / $1,461.00	Professional		$347.79	$893.52	$1,461.00