Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.33 / $496.87 / $3,119.00	Facility		$202.33	$496.87	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.88 / $333.37 / $1,419.26	Professional		$202.88	$333.37	$1,419.26
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 $338.56 / $727.24 / $1,502.27	Professional		$338.56	$727.24	$1,502.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,038.08 / $1,213.08 / $1,860.91	Facility		$1,038.08	$1,213.08	$1,860.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.48 / $613.28 / $1,074.36	Professional		$273.48	$613.28	$1,074.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $237.47 / $453.03 / $1,045.85	Facility		$237.47	$453.03	$1,045.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $655.23 / $1,590.00	Facility		$239.88	$655.23	$1,590.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $743.10 / $1,794.24	Professional		$353.93	$743.10	$1,794.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $282.77 / $723.85	Professional		$29.98	$282.77	$723.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $237.47 / $453.03 / $1,045.85	Facility		$237.47	$453.03	$1,045.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $532.54 / $818.42 / $1,252.72	Professional		$532.54	$818.42	$1,252.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $465.95 / $622.74 / $1,691.22	Facility		$465.95	$622.74	$1,691.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $411.64 / $1,191.25 / $2,884.32	Professional		$411.64	$1,191.25	$2,884.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $457.77 / $1,026.31 / $1,670.20	Professional		$457.77	$1,026.31	$1,670.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $353.93 / $589.90 / $1,435.03	Professional		$353.93	$589.90	$1,435.03