Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.55 / $504.91 / $14,482.00	Facility		$248.55	$504.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $316.27 / $884.30	Professional		$173.20	$316.27	$884.30
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 $217.80 / $377.54 / $798.38	Professional		$217.80	$377.54	$798.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $896.61 / $1,047.76 / $1,690.01	Facility		$896.61	$1,047.76	$1,690.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.23 / $528.05 / $1,204.45	Professional		$237.23	$528.05	$1,204.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $183.42 / $320.97 / $605.89	Facility		$183.42	$320.97	$605.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.42 / $464.83 / $4,514.00	Facility		$183.42	$464.83	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $337.44 / $705.96 / $3,090.35	Professional		$337.44	$705.96	$3,090.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $212.86 / $580.74	Professional		$26.31	$212.86	$580.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $173.20 / $316.27 / $621.38	Facility		$173.20	$316.27	$621.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $348.91 / $562.12 / $1,049.34	Professional		$348.91	$562.12	$1,049.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,166.52 / $1,166.52 / $1,166.52	Facility		$1,166.52	$1,166.52	$1,166.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $1,240.88 / $3,090.35	Professional		$335.73	$1,240.88	$3,090.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $704.76 / $1,612.95 / $3,237.51	Professional		$704.76	$1,612.95	$3,237.51
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 $337.44 / $621.62 / $1,428.32	Professional		$337.44	$621.62	$1,428.32