Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.49 / $933.01 / $14,482.00	Facility		$487.49	$933.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.08 / $487.49 / $1,509.00	Professional		$457.08	$487.49	$1,509.00
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 $444.16 / $1,180.04 / $2,554.01	Professional		$444.16	$1,180.04	$2,554.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,175.06 / $1,373.15 / $2,214.84	Facility		$1,175.06	$1,373.15	$2,214.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.85 / $1,417.24 / $1,881.22	Professional		$617.85	$1,417.24	$1,881.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $456.14 / $621.82 / $911.76	Facility		$456.14	$621.82	$911.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $487.49 / $4,103.00 / $8,783.00	Facility		$487.49	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.16 / $1,082.43 / $2,390.13	Professional		$523.16	$1,082.43	$2,390.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $391.52 / $1,008.86	Professional		$63.30	$391.52	$1,008.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $487.49 / $621.82 / $911.76	Facility		$487.49	$621.82	$911.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $887.25 / $1,370.05 / $1,613.84	Professional		$887.25	$1,370.05	$1,613.84
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 $631.57 / $2,206.30 / $3,384.32	Professional		$631.57	$2,206.30	$3,384.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,235.44 / $1,235.44 / $1,235.44	Professional		$1,235.44	$1,235.44	$1,235.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,305.38 / $2,194.21 / $2,194.21	Professional		$1,305.38	$2,194.21	$2,194.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.26 / $1,303.79 / $2,096.37	Professional		$498.26	$1,303.79	$2,096.37