Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $377.17 / $505.53	Facility		$200.00	$377.17	$505.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $377.17 / $1,637.26	Professional		$217.80	$377.17	$1,637.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.33 / $402.51 / $1,423.98	Professional		$243.33	$402.51	$1,423.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.35 / $773.12 / $1,219.60	Facility		$680.35	$773.12	$1,219.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.26 / $868.92 / $987.41	Professional		$348.26	$868.92	$987.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $217.80 / $291.20 / $518.28	Facility		$217.80	$291.20	$518.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.80 / $318.68 / $3,338.03	Facility		$217.80	$318.68	$3,338.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.16 / $610.16 / $1,700.31	Professional		$298.16	$610.16	$1,700.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $215.14 / $501.10	Professional		$65.00	$215.14	$501.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $217.80 / $302.39 / $677.40	Facility		$217.80	$302.39	$677.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $472.55 / $677.65 / $1,050.69	Professional		$472.55	$677.65	$1,050.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,042.45 / $4,042.45 / $4,042.45	Facility		$4,042.45	$4,042.45	$4,042.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $365.96 / $1,349.95 / $1,700.31	Professional		$365.96	$1,349.95	$1,700.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $679.37 / $679.37 / $679.37	Professional		$679.37	$679.37	$679.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $790.88 / $1,548.27 / $1,548.27	Professional		$790.88	$1,548.27	$1,548.27
United Facility/Professional Professional Modifier Low / Median / High Price $289.38 / $539.98 / $1,183.23	Professional		$289.38	$539.98	$1,183.23