Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.49 / $736.27 / $6,461.00	Facility		$342.49	$736.27	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $342.49 / $1,016.39	Professional		$285.54	$342.49	$1,016.39
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 $389.60 / $907.98 / $1,921.61	Professional		$389.60	$907.98	$1,921.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $952.48 / $1,113.05 / $1,795.31	Facility		$952.48	$1,113.05	$1,795.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.41 / $934.09 / $1,425.23	Professional		$500.41	$934.09	$1,425.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $334.83 / $395.80 / $645.34	Facility		$334.83	$395.80	$645.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.49 / $615.66 / $8,384.00	Facility		$342.49	$615.66	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.99 / $965.58 / $2,354.88	Professional		$381.99	$965.58	$2,354.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $306.86 / $808.71	Professional		$63.30	$306.86	$808.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $334.83 / $395.80 / $645.34	Facility		$334.83	$395.80	$645.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $712.81 / $918.92 / $1,235.53	Professional		$712.81	$918.92	$1,235.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,606.44 / $2,606.44 / $2,606.44	Facility		$2,606.44	$2,606.44	$2,606.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $487.12 / $1,530.63 / $3,031.43	Professional		$487.12	$1,530.63	$3,031.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $781.54 / $781.54 / $907.10	Professional		$781.54	$781.54	$907.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $824.85 / $1,706.39 / $1,966.05	Professional		$824.85	$1,706.39	$1,966.05
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 $369.04 / $854.32 / $1,459.85	Professional		$369.04	$854.32	$1,459.85