Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.76 / $701.96 / $3,119.00	Facility		$285.76	$701.96	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.76 / $455.38 / $989.30	Professional		$285.76	$455.38	$989.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.60 / $988.98 / $2,069.39	Professional		$454.60	$988.98	$2,069.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,430.08 / $1,671.16 / $2,563.60	Facility		$1,430.08	$1,671.16	$2,563.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.15 / $860.16 / $1,385.95	Professional		$407.15	$860.16	$1,385.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $340.12 / $623.96 / $1,474.56	Facility		$340.12	$623.96	$1,474.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $343.02 / $932.25 / $4,821.00	Facility		$343.02	$932.25	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.82 / $1,014.46 / $2,562.56	Professional		$481.82	$1,014.46	$2,562.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $410.05 / $1,036.10	Professional		$29.98	$410.05	$1,036.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $340.12 / $623.96 / $1,474.56	Facility		$340.12	$623.96	$1,474.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $792.77 / $1,186.56 / $1,782.81	Professional		$792.77	$1,186.56	$1,782.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $658.28 / $879.78 / $2,456.21	Facility		$658.28	$879.78	$2,456.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $563.76 / $1,643.35 / $4,006.24	Professional		$563.76	$1,643.35	$4,006.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $634.29 / $634.29 / $1,017.14	Professional		$634.29	$634.29	$1,017.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $800.98 / $1,451.94 / $2,304.65	Professional		$800.98	$1,451.94	$2,304.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.64 / $800.96 / $1,990.60	Professional		$476.64	$800.96	$1,990.60