Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.91 / $978.91 / $2,182.96	Facility		$978.91	$978.91	$2,182.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $978.91 / $978.91 / $1,223.64	Professional		$978.91	$978.91	$1,223.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $761.66 / $885.18 / $918.11	Facility		$761.66	$885.18	$918.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.68 / $584.63 / $1,019.70	Professional		$147.68	$584.63	$1,019.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.28 / $937.16 / $1,328.29	Facility		$512.28	$937.16	$1,328.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.73 / $274.69 / $487.50	Professional		$241.73	$274.69	$487.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $411.71 / $978.91	Facility		$144.07	$411.71	$978.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $118.38 / $617.57	Professional		$118.38	$118.38	$617.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $411.71 / $1,080.88	Facility		$144.07	$411.71	$1,080.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,325.61	Professional		$1,019.70	$1,019.70	$1,325.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $2,870.53	Professional		$65.00	$85.00	$2,870.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $144.07 / $411.71 / $978.91	Facility		$144.07	$411.71	$978.91
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $118.38 / $617.57	Professional		$118.38	$118.38	$617.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $156.47 / $331.77 / $478.50	Professional		$156.47	$331.77	$478.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,965.29 / $3,965.29 / $3,965.29	Facility		$3,965.29	$3,965.29	$3,965.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,040.08 / $1,040.08 / $1,040.08	Professional		$1,040.08	$1,040.08	$1,040.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $262.89 / $480.66	Professional		$262.89	$262.89	$480.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.70 / $1,019.70 / $1,396.17	Professional		$1,019.70	$1,019.70	$1,396.17