Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.57 / $944.39 / $3,119.00	Facility		$385.57	$944.39	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.57 / $500.17 / $1,530.57	Professional		$385.57	$500.17	$1,530.57
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 $545.07 / $1,149.96 / $2,449.67	Professional		$545.07	$1,149.96	$2,449.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,553.53 / $1,815.42 / $2,784.91	Facility		$1,553.53	$1,815.42	$2,784.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.07 / $827.60 / $1,507.00	Professional		$444.07	$827.60	$1,507.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $694.95 / $1,599.48	Facility		$435.24	$694.95	$1,599.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $453.07 / $935.31 / $1,756.00	Facility		$453.07	$935.31	$1,756.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $534.58 / $1,079.85 / $3,381.52	Professional		$534.58	$1,079.85	$3,381.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $347.60 / $1,097.57	Professional		$59.63	$347.60	$1,097.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $435.24 / $694.95 / $1,599.48	Facility		$435.24	$694.95	$1,599.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,008.21 / $1,393.02 / $1,910.46	Professional		$1,008.21	$1,393.02	$1,910.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $885.63 / $1,183.64 / $2,145.60	Facility		$885.63	$1,183.64	$2,145.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $571.22 / $2,185.40 / $4,336.64	Professional		$571.22	$2,185.40	$4,336.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $847.19 / $847.19 / $1,107.73	Professional		$847.19	$847.19	$1,107.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.28 / $1,938.90 / $2,503.05	Professional		$812.28	$1,938.90	$2,503.05
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 $541.96 / $907.62 / $2,366.46	Professional		$541.96	$907.62	$2,366.46