Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.45 / $460.49 / $14,482.00	Facility		$267.45	$460.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.65 / $267.45 / $748.78	Professional		$193.65	$267.45	$748.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,695.00 / $15,579.70	Facility		$5,479.00	$9,695.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $562.64 / $1,017.07	Professional		$223.47	$562.64	$1,017.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $577.62 / $674.99 / $1,088.74	Facility		$577.62	$674.99	$1,088.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.61 / $665.37 / $873.92	Professional		$344.61	$665.37	$873.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $225.13 / $312.86 / $630.00	Facility		$225.13	$312.86	$630.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.59 / $1,716.00 / $7,700.00	Facility		$245.59	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.76 / $576.41 / $1,141.02	Professional		$261.76	$576.41	$1,141.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $293.74 / $558.47	Professional		$85.00	$293.74	$558.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $225.13 / $312.86 / $630.00	Facility		$225.13	$312.86	$630.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.60 / $650.73 / $822.17	Professional		$470.60	$650.73	$822.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,777.50 / $4,777.50 / $4,777.50	Facility		$4,777.50	$4,777.50	$4,777.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $1,113.34 / $2,473.00	Professional		$325.95	$1,113.34	$2,473.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $415.93 / $415.93 / $415.93	Professional		$415.93	$415.93	$415.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.65 / $701.34 / $701.34	Professional		$416.65	$701.34	$701.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $587.64 / $975.85	Professional		$241.50	$587.64	$975.85