Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.54 / $585.61 / $14,482.00	Facility		$311.54	$585.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.63 / $311.54 / $946.61	Professional		$253.63	$311.54	$946.61
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 $270.91 / $705.72 / $1,541.70	Professional		$270.91	$705.72	$1,541.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $744.33 / $869.80 / $1,402.96	Facility		$744.33	$869.80	$1,402.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.45 / $849.13 / $1,179.70	Professional		$429.45	$849.13	$1,179.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $286.30 / $350.89 / $559.58	Facility		$286.30	$350.89	$559.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.54 / $4,103.00 / $8,384.00	Facility		$311.54	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $321.79 / $687.88 / $1,365.60	Professional		$321.79	$687.88	$1,365.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $371.35 / $684.73	Professional		$157.06	$371.35	$684.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.30 / $350.89 / $559.58	Facility		$286.30	$350.89	$559.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $566.79 / $856.02 / $1,030.97	Professional		$566.79	$856.02	$1,030.97
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 $442.81 / $1,375.75 / $2,149.12	Professional		$442.81	$1,375.75	$2,149.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $711.83 / $711.83 / $711.83	Professional		$711.83	$711.83	$711.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $725.14 / $1,551.21 / $1,551.21	Professional		$725.14	$1,551.21	$1,551.21
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 $321.79 / $762.49 / $1,205.83	Professional		$321.79	$762.49	$1,205.83