Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.62 / $1,052.34 / $3,119.00	Facility		$112.62	$1,052.34	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.62 / $533.65 / $1,117.24	Professional		$112.62	$533.65	$1,117.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $643.61 / $2,432.69	Professional		$215.10	$643.61	$2,432.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,727.45 / $2,018.66 / $3,096.67	Facility		$1,727.45	$2,018.66	$3,096.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.51 / $385.61 / $1,649.23	Professional		$173.51	$385.61	$1,649.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $419.82 / $1,669.08	Facility		$133.16	$419.82	$1,669.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.13 / $686.99 / $3,641.00	Facility		$145.13	$686.99	$3,641.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $632.65 / $1,252.33 / $2,627.57	Professional		$632.65	$1,252.33	$2,627.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $364.70 / $586.11 / $1,371.29	Professional		$364.70	$586.11	$1,371.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $419.82 / $1,669.08	Facility		$133.16	$419.82	$1,669.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $297.97 / $667.60 / $2,007.82	Professional		$297.97	$667.60	$2,007.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $256.30 / $342.55 / $1,241.44	Facility		$256.30	$342.55	$1,241.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $241.69 / $1,204.84 / $4,683.60	Professional		$241.69	$1,204.84	$4,683.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $326.22 / $1,071.58 / $2,742.51	Professional		$326.22	$1,071.58	$2,742.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.49 / $1,209.98 / $2,346.90	Professional		$572.49	$1,209.98	$2,346.90