Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.28 / $5,673.60 / $14,911.92	Facility		$331.28	$5,673.60	$14,911.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $331.28 / $1,517.70	Professional		$237.90	$331.28	$1,517.70
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 $313.62 / $731.97 / $1,592.84	Professional		$313.62	$731.97	$1,592.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.19 / $935.09 / $1,508.27	Facility		$800.19	$935.09	$1,508.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.87 / $756.56 / $1,196.54	Professional		$382.87	$756.56	$1,196.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $274.45 / $331.28 / $611.54	Facility		$274.45	$331.28	$611.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.48 / $543.55 / $8,129.86	Facility		$276.48	$543.55	$8,129.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $315.58 / $802.42 / $1,905.60	Professional		$315.58	$802.42	$1,905.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $200.97 / $666.56	Professional		$40.93	$200.97	$666.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $274.45 / $331.28 / $611.54	Facility		$274.45	$331.28	$611.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $573.27 / $751.45 / $1,033.40	Professional		$573.27	$751.45	$1,033.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,205.11 / $1,205.11 / $1,205.11	Facility		$1,205.11	$1,205.11	$1,205.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $394.53 / $1,283.84 / $2,261.67	Professional		$394.53	$1,283.84	$2,261.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $686.14 / $1,382.09 / $1,649.04	Professional		$686.14	$1,382.09	$1,649.04
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 $298.35 / $802.50 / $1,211.36	Professional		$298.35	$802.50	$1,211.36