Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $866.05 / $14,482.00	Facility		$390.00	$866.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.83 / $390.00 / $1,269.99	Professional		$386.83	$390.00	$1,269.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,338.00 / $6,049.00	Facility		$2,740.00	$4,338.00	$6,049.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.71 / $1,108.61 / $3,053.40	Professional		$422.71	$1,108.61	$3,053.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.54 / $1,261.53 / $2,034.80	Facility		$1,079.54	$1,261.53	$2,034.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.62 / $1,630.77 / $1,853.15	Professional		$800.62	$1,630.77	$1,853.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $591.79 / $839.95	Facility		$390.00	$591.79	$839.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.40 / $1,716.00 / $7,700.00	Facility		$423.40	$1,716.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.69 / $1,249.49 / $3,209.99	Professional		$485.69	$1,249.49	$3,209.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $508.61 / $1,152.45	Professional		$85.00	$508.61	$1,152.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $591.79 / $839.95	Facility		$390.00	$591.79	$839.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $915.85 / $1,409.00 / $1,892.09	Professional		$915.85	$1,409.00	$1,892.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,132.96 / $2,132.96 / $2,132.96	Facility		$2,132.96	$2,132.96	$2,132.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $819.30 / $2,080.25 / $3,374.85	Professional		$819.30	$2,080.25	$3,374.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,474.34 / $1,474.34 / $1,474.34	Professional		$1,474.34	$1,474.34	$1,474.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,367.19 / $2,441.98 / $2,441.98	Professional		$1,367.19	$2,441.98	$2,441.98
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 $485.69 / $1,301.93 / $2,102.55	Professional		$485.69	$1,301.93	$2,102.55