Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.38 / $528.01 / $14,482.00	Facility		$308.38	$528.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $308.38 / $929.87	Professional		$223.00	$308.38	$929.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.63 / $649.52 / $1,172.69	Professional		$258.63	$649.52	$1,172.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $662.32 / $773.98 / $1,248.40	Facility		$662.32	$773.98	$1,248.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.86 / $764.78 / $972.00	Professional		$396.86	$764.78	$972.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $258.14 / $360.80 / $1,102.50	Facility		$258.14	$360.80	$1,102.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.60 / $1,716.00 / $7,700.00	Facility		$281.60	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $311.98 / $669.18 / $1,318.31	Professional		$311.98	$669.18	$1,318.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $363.87 / $764.14	Professional		$85.00	$363.87	$764.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $281.60 / $362.08 / $1,102.50	Facility		$281.60	$362.08	$1,102.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $542.10 / $749.60 / $947.09	Professional		$542.10	$749.60	$947.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,227.67 / $2,227.67 / $2,227.67	Facility		$2,227.67	$2,227.67	$2,227.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $374.66 / $1,425.38 / $2,720.00	Professional		$374.66	$1,425.38	$2,720.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $480.16 / $480.16 / $480.16	Professional		$480.16	$480.16	$480.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $480.37 / $806.14 / $806.14	Professional		$480.37	$806.14	$806.14
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 $311.98 / $619.27 / $1,129.76	Professional		$311.98	$619.27	$1,129.76