Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.81 / $1,601.26 / $14,482.00	Facility		$283.81	$1,601.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.92 / $1,098.44 / $2,105.59	Professional		$241.92	$1,098.44	$2,105.59
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 $336.96 / $1,540.08 / $6,244.51	Professional		$336.96	$1,540.08	$6,244.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,307.11 / $3,864.62 / $5,136.39	Facility		$3,307.11	$3,864.62	$5,136.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.61 / $869.84 / $4,333.38	Professional		$341.61	$869.84	$4,333.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $270.48 / $638.76 / $2,401.89	Facility		$270.48	$638.76	$2,401.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $270.48 / $1,203.66 / $2,479.71	Facility		$270.48	$1,203.66	$2,479.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,352.69 / $4,570.89 / $8,961.76	Professional		$1,352.69	$4,570.89	$8,961.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $682.00 / $1,121.35 / $2,890.89	Professional		$682.00	$1,121.35	$2,890.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $271.01 / $638.76 / $2,471.36	Facility		$271.01	$638.76	$2,471.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $528.54 / $1,272.26 / $4,016.62	Professional		$528.54	$1,272.26	$4,016.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $575.79 / $2,182.75 / $8,734.00	Facility		$575.79	$2,182.75	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $505.09 / $4,570.89 / $8,961.76	Professional		$505.09	$4,570.89	$8,961.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,085.55 / $1,348.91 / $6,433.95	Professional		$1,085.55	$1,348.91	$6,433.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,533.00 / $2,202.90	Facility		$1,008.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,378.26 / $3,069.04 / $5,831.53	Professional		$1,378.26	$3,069.04	$5,831.53