Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.83 / $675.86 / $3,119.00	Facility		$275.83	$675.86	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $450.90 / $1,659.81	Professional		$275.83	$450.90	$1,659.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.26 / $937.22 / $1,967.97	Professional		$433.26	$937.22	$1,967.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.35 / $1,646.94 / $2,526.44	Facility		$1,409.35	$1,646.94	$2,526.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.59 / $836.93 / $1,361.72	Professional		$367.59	$836.93	$1,361.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $323.11 / $598.62 / $1,423.08	Facility		$323.11	$598.62	$1,423.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.73 / $891.51 / $7,318.09	Facility		$326.73	$891.51	$7,318.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $470.00 / $943.18 / $2,458.56	Professional		$470.00	$943.18	$2,458.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $290.06 / $936.04	Professional		$31.53	$290.06	$936.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $323.11 / $598.62 / $1,423.08	Facility		$323.11	$598.62	$1,423.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $746.00 / $1,133.19 / $1,707.08	Professional		$746.00	$1,133.19	$1,707.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $633.79 / $847.07 / $1,562.68	Facility		$633.79	$847.07	$1,562.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $539.29 / $1,561.80 / $3,917.04	Professional		$539.29	$1,561.80	$3,917.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $605.87 / $605.87 / $1,005.90	Professional		$605.87	$605.87	$1,005.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $699.88 / $1,402.93 / $2,264.39	Professional		$699.88	$1,402.93	$2,264.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.57 / $796.04 / $1,873.05	Professional		$469.57	$796.04	$1,873.05