Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.38 / $727.95 / $6,461.00	Facility		$280.38	$727.95	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.38 / $457.32 / $1,791.95	Professional		$280.38	$457.32	$1,791.95
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 $451.30 / $950.71 / $2,008.39	Professional		$451.30	$950.71	$2,008.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,321.04 / $1,543.74 / $2,368.14	Facility		$1,321.04	$1,543.74	$2,368.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.28 / $799.78 / $1,370.94	Professional		$413.28	$799.78	$1,370.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $331.51 / $614.14 / $1,356.90	Facility		$331.51	$614.14	$1,356.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.34 / $852.13 / $1,609.43	Facility		$357.34	$852.13	$1,609.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $515.49 / $976.32 / $2,550.00	Professional		$515.49	$976.32	$2,550.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.33 / $384.56 / $997.38	Professional		$62.33	$384.56	$997.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $331.51 / $614.14 / $1,356.90	Facility		$331.51	$614.14	$1,356.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $738.46 / $1,103.30 / $1,599.98	Professional		$738.46	$1,103.30	$1,599.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $643.44 / $859.96 / $2,340.42	Facility		$643.44	$859.96	$2,340.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $545.67 / $1,651.45 / $3,692.48	Professional		$545.67	$1,651.45	$3,692.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $758.29 / $1,419.55 / $2,133.05	Professional		$758.29	$1,419.55	$2,133.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $477.29 / $976.32 / $1,935.34	Professional		$477.29	$976.32	$1,935.34