Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.94 / $682.61 / $14,482.00	Facility		$363.94	$682.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.92 / $363.94 / $1,049.79	Professional		$293.92	$363.94	$1,049.79
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 $308.14 / $821.49 / $1,803.70	Professional		$308.14	$821.49	$1,803.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.89 / $1,023.55 / $1,650.94	Facility		$875.89	$1,023.55	$1,650.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.57 / $992.15 / $1,385.86	Professional		$500.57	$992.15	$1,385.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $333.72 / $407.28 / $1,131.17	Facility		$333.72	$407.28	$1,131.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.94 / $2,143.91 / $8,384.00	Facility		$363.94	$2,143.91	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $356.87 / $779.35 / $1,595.26	Professional		$356.87	$779.35	$1,595.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $278.13 / $743.11	Professional		$63.30	$278.13	$743.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $333.72 / $407.28 / $1,131.17	Facility		$333.72	$407.28	$1,131.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $657.15 / $946.23 / $1,195.31	Professional		$657.15	$946.23	$1,195.31
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 $517.40 / $1,558.70 / $2,495.84	Professional		$517.40	$1,558.70	$2,495.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $830.70 / $830.70 / $830.70	Professional		$830.70	$830.70	$830.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $802.57 / $1,812.51 / $1,812.51	Professional		$802.57	$1,812.51	$1,812.51
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 $327.02 / $811.65 / $1,366.20	Professional		$327.02	$811.65	$1,366.20