Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.61 / $572.61 / $17,823.00	Facility		$572.61	$572.61	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.50 / $329.10 / $572.61	Professional		$276.50	$329.10	$572.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $11,302.00 / $14,586.00	Facility		$10,878.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.63 / $581.20 / $2,007.75	Professional		$295.63	$581.20	$2,007.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.81 / $949.83 / $1,532.05	Facility		$812.81	$949.83	$1,532.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.84 / $878.59 / $1,298.53	Professional		$510.84	$878.59	$1,298.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $314.24 / $413.62 / $692.56	Facility		$314.24	$413.62	$692.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.80 / $8,791.00 / $19,402.34	Facility		$342.80	$8,791.00	$19,402.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $401.95 / $698.72 / $2,105.21	Professional		$401.95	$698.72	$2,105.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $490.78 / $762.05	Professional		$66.56	$490.78	$762.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $314.24 / $413.62 / $692.56	Facility		$314.24	$413.62	$692.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $678.87 / $846.49 / $1,128.68	Professional		$678.87	$846.49	$1,128.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,386.21 / $5,386.21 / $5,386.21	Facility		$5,386.21	$5,386.21	$5,386.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $438.83 / $1,460.75 / $5,386.21	Professional		$438.83	$1,460.75	$5,386.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.82 / $1,019.82 / $1,019.82	Professional		$1,019.82	$1,019.82	$1,019.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.87 / $2,091.25 / $2,091.25	Professional		$1,689.87	$2,091.25	$2,091.25
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $13,851.00 / $20,120.00	Facility		$8,627.00	$13,851.00	$20,120.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.86 / $779.45 / $1,456.77	Professional		$403.86	$779.45	$1,456.77