Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.05 / $729.36 / $14,482.00	Facility		$530.05	$729.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.67 / $530.05 / $1,242.03	Professional		$336.67	$530.05	$1,242.03
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 $347.89 / $684.37 / $1,802.60	Professional		$347.89	$684.37	$1,802.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.19 / $1,212.04 / $1,954.97	Facility		$1,037.19	$1,212.04	$1,954.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.46 / $827.06 / $1,721.05	Professional		$404.46	$827.06	$1,721.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.43 / $502.45 / $755.85	Facility		$355.43	$502.45	$755.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.07 / $684.44 / $4,130.00	Facility		$357.07	$684.44	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $381.49 / $832.81 / $2,896.48	Professional		$381.49	$832.81	$2,896.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $211.70 / $617.74	Professional		$30.56	$211.70	$617.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.43 / $502.45 / $889.42	Facility		$355.43	$502.45	$889.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $907.91 / $1,307.08	Professional		$682.50	$907.91	$1,307.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,892.47 / $2,892.47 / $2,892.47	Facility		$2,892.47	$2,892.47	$2,892.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $595.19 / $1,727.65 / $2,896.48	Professional		$595.19	$1,727.65	$2,896.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,704.53 / $3,435.26 / $3,785.71	Professional		$1,704.53	$3,435.26	$3,785.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.47 / $774.75 / $1,691.41	Professional		$385.47	$774.75	$1,691.41