Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.23 / $873.79 / $14,482.00	Facility		$456.23	$873.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.58 / $456.23 / $1,410.02	Professional		$427.58	$456.23	$1,410.02
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 $414.36 / $1,042.86 / $2,382.32	Professional		$414.36	$1,042.86	$2,382.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,101.17 / $1,286.80 / $2,075.57	Facility		$1,101.17	$1,286.80	$2,075.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.65 / $1,326.36 / $1,762.39	Professional		$578.65	$1,326.36	$1,762.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $456.23 / $608.94 / $1,580.65	Facility		$456.23	$608.94	$1,580.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.23 / $1,580.65 / $8,384.00	Facility		$456.23	$1,580.65	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $488.96 / $1,009.56 / $2,230.11	Professional		$488.96	$1,009.56	$2,230.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $391.91 / $963.34	Professional		$57.73	$391.91	$963.34
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $456.23 / $608.94 / $1,580.65	Facility		$456.23	$608.94	$1,580.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $830.70 / $1,282.73 / $1,510.98	Professional		$830.70	$1,282.73	$1,510.98
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 $591.05 / $2,055.75 / $3,163.76	Professional		$591.05	$2,055.75	$3,163.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.50 / $1,153.50 / $1,153.50	Professional		$1,153.50	$1,153.50	$1,153.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.53 / $2,053.44 / $2,053.44	Professional		$1,222.53	$2,053.44	$2,053.44
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 $465.91 / $1,258.36 / $2,057.71	Professional		$465.91	$1,258.36	$2,057.71