Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.43 / $3,119.00 / $14,482.00	Facility		$391.43	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.03 / $1,560.55 / $3,231.73	Professional		$333.03	$1,560.55	$3,231.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.78 / $2,117.28 / $9,047.28	Professional		$452.78	$2,117.28	$9,047.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,829.10 / $5,643.19 / $7,500.26	Facility		$4,829.10	$5,643.19	$7,500.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.67 / $1,221.04 / $6,326.16	Professional		$447.67	$1,221.04	$6,326.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $367.36 / $875.77 / $3,519.78	Facility		$367.36	$875.77	$3,519.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $368.21 / $1,368.00 / $3,576.00	Facility		$368.21	$1,368.00	$3,576.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,946.67 / $6,726.24 / $13,089.20	Professional		$1,946.67	$6,726.24	$13,089.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,015.92 / $1,687.64 / $4,360.33	Professional		$1,015.92	$1,687.64	$4,360.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $368.21 / $875.77 / $3,744.23	Facility		$368.21	$875.77	$3,744.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $760.41 / $1,933.03 / $6,102.71	Professional		$760.41	$1,933.03	$6,102.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $809.34 / $3,331.17 / $8,734.00	Facility		$809.34	$3,331.17	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $673.15 / $6,726.24 / $13,089.20	Professional		$673.15	$6,726.24	$13,089.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.35 / $2,151.92 / $12,474.78	Professional		$1,487.35	$2,151.92	$12,474.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,533.00 / $2,202.90	Facility		$1,034.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.68 / $3,736.81 / $8,150.58	Professional		$1,060.68	$3,736.81	$8,150.58