Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.59 / $3,119.00 / $17,823.00	Facility		$223.59	$3,119.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.59 / $365.93 / $424.79	Professional		$223.59	$365.93	$424.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,419.00 / $4,441.52	Facility		$1,139.00	$2,419.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.99 / $687.97 / $2,217.92	Professional		$343.99	$687.97	$2,217.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.62 / $440.62 / $440.62	Facility		$440.62	$440.62	$440.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,833.48 / $1,833.48 / $1,833.48	Professional		$1,833.48	$1,833.48	$1,833.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $223.59 / $366.59 / $694.71	Facility		$223.59	$366.59	$694.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.59 / $413.59 / $4,901.45	Facility		$236.59	$413.59	$4,901.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $403.22 / $802.77 / $2,863.76	Professional		$403.22	$802.77	$2,863.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $223.59 / $365.93 / $694.71	Facility		$223.59	$365.93	$694.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $505.44 / $905.52 / $1,293.59	Professional		$505.44	$905.52	$1,293.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $440.62 / $4,901.45 / $4,901.45	Facility		$440.62	$4,901.45	$4,901.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,610.51 / $2,863.76 / $2,863.76	Professional		$1,610.51	$2,863.76	$2,863.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.58 / $769.15 / $1,899.04	Professional		$399.58	$769.15	$1,899.04