Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.73 / $728.15 / $14,482.00	Facility		$389.73	$728.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.97 / $389.73 / $1,249.71	Professional		$311.97	$389.73	$1,249.71
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 $316.85 / $918.31 / $1,889.99	Professional		$316.85	$918.31	$1,889.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $942.57 / $1,101.47 / $1,776.63	Facility		$942.57	$1,101.47	$1,776.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $533.98 / $1,063.52 / $1,484.64	Professional		$533.98	$1,063.52	$1,484.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.98 / $434.53 / $1,742.39	Facility		$355.98	$434.53	$1,742.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $355.98 / $1,742.39 / $8,384.00	Facility		$355.98	$1,742.39	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $362.22 / $801.99 / $1,708.28	Professional		$362.22	$801.99	$1,708.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $294.87 / $772.83	Professional		$63.30	$294.87	$772.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.98 / $434.53 / $1,742.39	Facility		$355.98	$434.53	$1,742.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $697.45 / $958.20 / $1,268.60	Professional		$697.45	$958.20	$1,268.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,496.40 / $9,496.40 / $9,496.40	Facility		$9,496.40	$9,496.40	$9,496.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $554.61 / $1,623.00 / $2,665.76	Professional		$554.61	$1,623.00	$2,665.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $889.35 / $889.35 / $889.35	Professional		$889.35	$889.35	$889.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $816.25 / $1,942.84 / $1,942.84	Professional		$816.25	$1,942.84	$1,942.84
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 $354.37 / $943.29 / $1,395.78	Professional		$354.37	$943.29	$1,395.78