Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $681.48 / $14,482.00	Facility		$302.72	$681.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.72 / $332.85 / $1,708.69	Professional		$302.72	$332.85	$1,708.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $720.18 / $1,861.23	Professional		$314.61	$720.18	$1,861.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $863.27 / $1,008.80 / $1,547.53	Facility		$863.27	$1,008.80	$1,547.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $503.72 / $1,278.16 / $1,452.45	Professional		$503.72	$1,278.16	$1,452.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $454.08 / $757.20	Facility		$302.72	$454.08	$757.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $302.88 / $638.17 / $7,891.00	Facility		$302.88	$638.17	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.90 / $627.58 / $3,232.86	Professional		$350.90	$627.58	$3,232.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $245.99 / $768.96	Professional		$56.50	$245.99	$768.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $302.72 / $454.08 / $757.20	Facility		$302.72	$454.08	$757.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $646.10 / $787.25 / $1,175.21	Professional		$646.10	$787.25	$1,175.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $497.27 / $497.27 / $497.27	Facility	AS	$497.27	$497.27	$497.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $642.13 / $1,568.95 / $3,232.86	Professional		$642.13	$1,568.95	$3,232.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,112.48 / $1,742.90 / $1,913.91	Professional		$1,112.48	$1,742.90	$1,913.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.19 / $625.46 / $1,510.05	Professional		$334.19	$625.46	$1,510.05