Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.19 / $717.95 / $3,119.00	Facility		$290.19	$717.95	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.19 / $456.94 / $1,279.55	Professional		$290.19	$456.94	$1,279.55
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 $453.11 / $1,003.92 / $2,065.94	Professional		$453.11	$1,003.92	$2,065.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,449.00 / $1,693.27 / $2,597.52	Facility		$1,449.00	$1,693.27	$2,597.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.95 / $861.23 / $1,480.71	Professional		$385.95	$861.23	$1,480.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $343.71 / $629.64 / $1,472.10	Facility		$343.71	$629.64	$1,472.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $347.38 / $936.93 / $7,318.09	Facility		$347.38	$936.93	$7,318.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.19 / $978.52 / $2,603.19	Professional		$489.19	$978.52	$2,603.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $301.24 / $961.88	Professional		$31.53	$301.24	$961.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $343.71 / $629.64 / $1,472.10	Facility		$343.71	$629.64	$1,472.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $786.73 / $1,175.90 / $1,761.17	Professional		$786.73	$1,175.90	$1,761.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $673.28 / $899.83 / $1,650.48	Facility		$673.28	$899.83	$1,650.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $571.11 / $1,657.90 / $4,034.64	Professional		$571.11	$1,657.90	$4,034.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $639.89 / $639.89 / $1,022.72	Professional		$639.89	$639.89	$1,022.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $749.25 / $1,485.68 / $2,331.17	Professional		$749.25	$1,485.68	$2,331.17
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 $480.59 / $790.67 / $1,950.34	Professional		$480.59	$790.67	$1,950.34