Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.40 / $1,663.60 / $11,299.72	Facility		$540.40	$1,663.60	$11,299.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.40 / $705.73 / $1,782.51	Professional		$540.40	$705.73	$1,782.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.60 / $1,601.84 / $3,434.01	Professional		$764.60	$1,601.84	$3,434.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,133.85 / $2,493.58 / $3,825.21	Facility		$2,133.85	$2,493.58	$3,825.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $667.90 / $1,251.90 / $2,358.19	Professional		$667.90	$1,251.90	$2,358.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $632.27 / $974.84 / $2,218.14	Facility		$632.27	$974.84	$2,218.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $643.70 / $1,407.91 / $4,821.00	Facility		$643.70	$1,407.91	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $769.70 / $1,518.50 / $4,817.43	Professional		$769.70	$1,518.50	$4,817.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $463.75 / $1,393.26	Professional		$63.88	$463.75	$1,393.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $632.27 / $974.84 / $2,218.14	Facility		$632.27	$974.84	$2,218.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,427.04 / $1,938.08 / $2,689.94	Professional		$1,427.04	$1,938.08	$2,689.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,249.83 / $1,670.40 / $3,055.88	Facility		$1,249.83	$1,670.40	$3,055.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $770.88 / $3,088.90 / $6,000.88	Professional		$770.88	$3,088.90	$6,000.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.23 / $2,751.86 / $3,450.87	Professional		$1,191.23	$2,751.86	$3,450.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.27 / $1,441.86 / $3,169.27	Professional		$749.27	$1,441.86	$3,169.27