Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.25 / $684.77 / $14,482.00	Facility		$364.25	$684.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.83 / $364.25 / $3,145.00	Professional		$295.83	$364.25	$3,145.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $9,695.00 / $15,579.70	Facility		$1,979.00	$9,695.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.25 / $877.04 / $1,822.45	Professional		$317.25	$877.04	$1,822.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $872.28 / $1,019.33 / $1,644.15	Facility		$872.28	$1,019.33	$1,644.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.17 / $993.66 / $1,381.56	Professional		$502.17	$993.66	$1,381.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $336.61 / $409.65 / $1,469.52	Facility		$336.61	$409.65	$1,469.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.25 / $1,469.52 / $6,150.00	Facility		$364.25	$1,469.52	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.02 / $804.18 / $1,596.62	Professional		$381.02	$804.18	$1,596.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.80 / $251.62 / $696.21	Professional		$53.80	$251.62	$696.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $336.61 / $409.65 / $1,469.52	Facility		$336.61	$409.65	$1,469.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $661.05 / $1,012.79 / $1,202.40	Professional		$661.05	$1,012.79	$1,202.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,217.50 / $4,217.50 / $4,217.50	Facility		$4,217.50	$4,217.50	$4,217.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $518.19 / $1,608.35 / $2,806.88	Professional		$518.19	$1,608.35	$2,806.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $830.88 / $830.88 / $830.88	Professional		$830.88	$830.88	$830.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $857.20 / $1,815.27 / $1,815.27	Professional		$857.20	$1,815.27	$1,815.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.30 / $908.57 / $1,409.72	Professional		$369.30	$908.57	$1,409.72