Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.12 / $745.49 / $14,482.00	Facility		$388.12	$745.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.79 / $388.12 / $1,196.42	Professional		$363.79	$388.12	$1,196.42
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 $351.32 / $885.17 / $2,053.06	Professional		$351.32	$885.17	$2,053.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $939.87 / $1,098.31 / $1,771.54	Facility		$939.87	$1,098.31	$1,771.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.69 / $1,130.08 / $1,506.12	Professional		$493.69	$1,130.08	$1,506.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $361.10 / $454.10 / $712.36	Facility		$361.10	$454.10	$712.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $370.16 / $4,103.00 / $8,783.00	Facility		$370.16	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $412.15 / $855.50 / $1,890.08	Professional		$412.15	$855.50	$1,890.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $339.92 / $819.66	Professional		$57.73	$339.92	$819.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $361.10 / $454.10 / $712.36	Facility		$361.10	$454.10	$712.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $709.15 / $1,095.04 / $1,289.89	Professional		$709.15	$1,095.04	$1,289.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,344.65 / $19,344.65 / $19,344.65	Facility		$19,344.65	$19,344.65	$19,344.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $503.61 / $1,742.55 / $2,691.92	Professional		$503.61	$1,742.55	$2,691.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $979.94 / $979.94 / $979.94	Professional		$979.94	$979.94	$979.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $711.81 / $1,749.64 / $1,749.64	Professional		$711.81	$1,749.64	$1,749.64
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 $372.89 / $1,061.29 / $1,657.78	Professional		$372.89	$1,061.29	$1,657.78