Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.16 / $918.70 / $6,461.00	Facility		$265.16	$918.70	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $385.49 / $1,061.26	Professional		$265.16	$385.49	$1,061.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.21 / $996.08 / $1,999.13	Professional		$439.21	$996.08	$1,999.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,213.81 / $1,418.43 / $2,287.88	Facility		$1,213.81	$1,418.43	$2,287.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.62 / $926.64 / $1,544.78	Professional		$602.62	$926.64	$1,544.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $292.52 / $449.14 / $688.26	Facility		$292.52	$449.14	$688.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $326.69 / $628.94 / $8,384.00	Facility		$326.69	$628.94	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $1,240.98 / $2,376.16	Professional		$514.79	$1,240.98	$2,376.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $288.00 / $905.55	Professional		$54.56	$288.00	$905.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $292.52 / $449.14 / $688.26	Facility		$292.52	$449.14	$688.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $737.64 / $1,053.76 / $1,535.66	Professional		$737.64	$1,053.76	$1,535.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,519.04 / $1,519.04 / $1,519.04	Facility		$1,519.04	$1,519.04	$1,519.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $613.59 / $1,929.56 / $3,385.28	Professional		$613.59	$1,929.56	$3,385.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $586.88 / $586.88 / $863.33	Professional		$586.88	$586.88	$863.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $710.55 / $1,356.00 / $1,952.04	Professional		$710.55	$1,356.00	$1,952.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $1,106.80 / $1,819.82	Professional		$514.79	$1,106.80	$1,819.82