Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.34 / $890.87 / $14,482.00	Facility		$465.34	$890.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.59 / $465.34 / $1,439.22	Professional		$436.59	$465.34	$1,439.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.04 / $1,067.08 / $2,432.16	Professional		$423.04	$1,067.08	$2,432.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,121.89 / $1,311.02 / $2,114.63	Facility		$1,121.89	$1,311.02	$2,114.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.95 / $1,352.44 / $1,796.75	Professional		$589.95	$1,352.44	$1,796.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $435.53 / $592.26 / $867.27	Facility		$435.53	$592.26	$867.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $465.34 / $4,240.00 / $12,631.00	Facility		$465.34	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.09 / $1,031.08 / $2,276.67	Professional		$492.09	$1,031.08	$2,276.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $393.07 / $963.34	Professional		$57.73	$393.07	$963.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $465.34 / $620.84 / $867.27	Facility		$465.34	$620.84	$867.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $846.95 / $1,307.82 / $1,540.54	Professional		$846.95	$1,307.82	$1,540.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,986.75 / $17,986.75 / $17,986.75	Facility		$17,986.75	$17,986.75	$17,986.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.69 / $2,098.55 / $3,226.56	Professional		$602.69	$2,098.55	$3,226.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.81 / $1,176.81 / $1,176.81	Professional		$1,176.81	$1,176.81	$1,176.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,333.30 / $2,093.86 / $2,093.86	Professional		$1,333.30	$2,093.86	$2,093.86
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $1,031.08 / $1,996.85	Professional		$432.00	$1,031.08	$1,996.85