Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.56 / $570.11 / $6,461.00	Facility		$232.56	$570.11	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.56 / $363.42 / $1,486.63	Professional		$232.56	$363.42	$1,486.63
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 $369.71 / $811.06 / $1,663.20	Professional		$369.71	$811.06	$1,663.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,127.30 / $1,317.34 / $2,020.83	Facility		$1,127.30	$1,317.34	$2,020.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.56 / $674.73 / $1,169.54	Professional		$341.56	$674.73	$1,169.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $272.66 / $506.70 / $1,143.54	Facility		$272.66	$506.70	$1,143.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.67 / $752.10 / $1,642.00	Facility		$295.67	$752.10	$1,642.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $387.24 / $813.50 / $2,060.32	Professional		$387.24	$813.50	$2,060.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $296.26 / $813.27	Professional		$29.98	$296.26	$813.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $272.66 / $506.70 / $1,143.54	Facility		$272.66	$506.70	$1,143.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $613.25 / $918.50 / $1,365.23	Professional		$613.25	$918.50	$1,365.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $534.63 / $714.53 / $1,941.78	Facility		$534.63	$714.53	$1,941.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $452.77 / $1,367.60 / $5,940.86	Professional		$452.77	$1,367.60	$5,940.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $525.76 / $1,177.86 / $1,817.42	Professional		$525.76	$1,177.86	$1,817.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,507.00 / $2,202.90	Facility		$1,008.00	$1,507.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $385.56 / $673.53 / $1,709.34	Professional		$385.56	$673.53	$1,709.34