Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.98 / $502.37 / $2,658.55	Facility		$222.98	$502.37	$2,658.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $532.44 / $1,270.84	Professional		$131.40	$532.44	$1,270.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.80 / $906.35 / $2,658.87	Professional		$201.80	$906.35	$2,658.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,744.00 / $2,332.67 / $3,188.21	Facility		$1,744.00	$2,332.67	$3,188.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.16 / $498.85 / $2,448.16	Professional		$169.16	$498.85	$2,448.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $125.67 / $256.14 / $1,270.84	Facility		$125.67	$256.14	$1,270.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.33 / $269.35 / $1,297.92	Facility		$127.33	$269.35	$1,297.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $727.69 / $1,856.36 / $5,036.20	Professional		$727.69	$1,856.36	$5,036.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.66 / $713.40 / $1,457.11	Professional		$181.66	$713.40	$1,457.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $125.40 / $260.89 / $1,270.84	Facility		$125.40	$260.89	$1,270.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.42 / $770.48 / $2,317.21	Professional		$293.42	$770.48	$2,317.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $216.13 / $1,195.56 / $2,305.42	Facility		$216.13	$1,195.56	$2,305.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $2,760.03 / $5,036.20	Professional		$223.76	$2,760.03	$5,036.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $160.25 / $160.25 / $948.88	Professional		$160.25	$160.25	$948.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $651.40 / $2,626.12	Professional		$193.25	$651.40	$2,626.12
United Facility/Professional Professional Modifier Low / Median / High Price $678.53 / $1,299.84 / $3,001.22	Professional		$678.53	$1,299.84	$3,001.22