Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.25 / $889.49 / $14,482.00	Facility		$464.25	$889.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.17 / $464.25 / $1,432.37	Professional		$434.17	$464.25	$1,432.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.33 / $1,061.92 / $2,421.38	Professional		$421.33	$1,061.92	$2,421.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.08 / $1,308.92 / $2,111.23	Facility		$1,120.08	$1,308.92	$2,111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.04 / $1,350.36 / $1,793.88	Professional		$589.04	$1,350.36	$1,793.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $464.25 / $619.19 / $2,004.35	Facility		$464.25	$619.19	$2,004.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $464.25 / $2,004.35 / $16,779.00	Facility		$464.25	$2,004.35	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $488.45 / $1,026.93 / $2,266.30	Professional		$488.45	$1,026.93	$2,266.30
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 $464.25 / $619.19 / $2,004.35	Facility		$464.25	$619.19	$2,004.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $845.65 / $1,305.81 / $1,538.17	Professional		$845.65	$1,305.81	$1,538.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $601.76 / $2,091.80 / $3,221.84	Professional		$601.76	$2,091.80	$3,221.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.06 / $1,174.06 / $1,174.06	Professional		$1,174.06	$1,174.06	$1,174.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.38 / $2,090.65 / $2,090.65	Professional		$1,327.38	$2,090.65	$2,090.65
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.89 / $1,228.72 / $1,987.76	Professional		$446.89	$1,228.72	$1,987.76