Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.12 / $765.29 / $14,482.00	Facility		$444.12	$765.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.35 / $444.12 / $1,181.74	Professional		$289.35	$444.12	$1,181.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,638.00 / $6,658.26	Facility		$1,905.00	$3,638.00	$6,658.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.48 / $909.39 / $1,597.61	Professional		$352.48	$909.39	$1,597.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $968.70 / $1,132.01 / $1,825.89	Facility		$968.70	$1,132.01	$1,825.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.20 / $1,107.48 / $1,284.56	Professional		$527.20	$1,107.48	$1,284.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $374.14 / $491.90 / $785.00	Facility		$374.14	$491.90	$785.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $408.16 / $1,716.00 / $7,700.00	Facility		$408.16	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $412.09 / $843.92 / $1,788.46	Professional		$412.09	$843.92	$1,788.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $305.86 / $814.45	Professional		$65.00	$305.86	$814.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $408.16 / $491.90 / $785.00	Facility		$408.16	$491.90	$785.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.50 / $1,069.57 / $1,351.36	Professional		$773.50	$1,069.57	$1,351.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,277.60 / $2,277.60 / $2,277.60	Facility		$2,277.60	$2,277.60	$2,277.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $542.54 / $1,792.95 / $2,834.88	Professional		$542.54	$1,792.95	$2,834.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $690.57 / $690.57 / $690.57	Professional		$690.57	$690.57	$690.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $725.40 / $1,167.34 / $1,307.41	Professional		$725.40	$1,167.34	$1,307.41
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 $424.78 / $1,067.05 / $1,626.31	Professional		$424.78	$1,067.05	$1,626.31