Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $829.78 / $4,205.50	Facility		$240.69	$829.78	$4,205.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.69 / $343.73 / $669.40	Professional		$240.69	$343.73	$669.40
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 $371.59 / $774.18 / $1,631.04	Professional		$371.59	$774.18	$1,631.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.93 / $1,246.79 / $1,912.60	Facility		$1,066.93	$1,246.79	$1,912.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.62 / $596.77 / $1,039.01	Professional		$303.62	$596.77	$1,039.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $286.37 / $479.43 / $1,106.36	Facility		$286.37	$479.43	$1,106.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $314.02 / $780.06 / $7,318.09	Facility		$314.02	$780.06	$7,318.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $388.10 / $777.62 / $2,139.76	Professional		$388.10	$777.62	$2,139.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $321.55 / $822.77	Professional		$29.50	$321.55	$822.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $286.37 / $479.43 / $1,106.36	Facility		$286.37	$479.43	$1,106.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $647.94 / $931.99 / $1,320.88	Professional		$647.94	$931.99	$1,320.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $552.14 / $737.94 / $2,027.04	Facility		$552.14	$737.94	$2,027.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $364.71 / $1,404.00 / $3,004.08	Professional		$364.71	$1,404.00	$3,004.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $1,217.26 / $1,727.72	Professional		$634.40	$1,217.26	$1,727.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.16 / $623.02 / $1,549.25	Professional		$377.16	$623.02	$1,549.25