Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.59 / $624.55 / $14,482.00	Facility		$235.59	$624.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.59 / $273.51 / $1,179.71	Professional		$235.59	$273.51	$1,179.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $576.96 / $1,461.63	Professional		$252.00	$576.96	$1,461.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.27 / $912.98 / $1,400.53	Facility		$781.27	$912.98	$1,400.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.88 / $1,166.43 / $1,332.48	Professional		$433.88	$1,166.43	$1,332.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $248.49 / $355.30 / $879.02	Facility		$248.49	$355.30	$879.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.90 / $558.04 / $3,995.00	Facility		$248.90	$558.04	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $718.14 / $4,278.02	Professional		$303.89	$718.14	$4,278.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.37 / $365.22 / $817.45	Professional		$175.37	$365.22	$817.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $248.49 / $355.30 / $879.02	Facility		$248.49	$355.30	$879.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $625.97 / $794.38 / $1,139.01	Professional		$625.97	$794.38	$1,139.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $982.04 / $982.04 / $2,710.90	Facility		$982.04	$982.04	$2,710.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $589.09 / $2,076.96 / $4,278.02	Professional		$589.09	$2,076.96	$4,278.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $891.95 / $891.95 / $891.95	Professional		$891.95	$891.95	$891.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $842.42 / $1,440.21 / $1,755.79	Professional		$842.42	$1,440.21	$1,755.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.62 / $551.84 / $1,150.29	Professional		$300.62	$551.84	$1,150.29