Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.58 / $1,007.52 / $8,282.10	Facility		$227.58	$1,007.52	$8,282.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $555.83 / $1,206.45	Professional		$194.93	$555.83	$1,206.45
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 $339.67 / $989.23 / $3,912.60	Professional		$339.67	$989.23	$3,912.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,070.77 / $2,419.86 / $3,903.15	Facility		$2,070.77	$2,419.86	$3,903.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.72 / $889.47 / $3,017.90	Professional		$342.72	$889.47	$3,017.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $179.92 / $351.65 / $1,315.44	Facility		$179.92	$351.65	$1,315.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.36 / $1,206.45 / $11,598.00	Facility		$199.36	$1,206.45	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $904.75 / $2,501.37 / $4,609.47	Professional		$904.75	$2,501.37	$4,609.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.97 / $583.69 / $1,521.04	Professional		$59.97	$583.69	$1,521.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $179.92 / $351.65 / $1,315.44	Facility		$179.92	$351.65	$1,315.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $417.34 / $795.23 / $2,499.46	Professional		$417.34	$795.23	$2,499.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,352.88 / $1,352.88 / $1,352.88	Facility		$1,352.88	$1,352.88	$1,352.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $344.55 / $2,841.64 / $5,613.84	Professional		$344.55	$2,841.64	$5,613.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $921.24 / $1,240.56 / $5,354.08	Professional		$921.24	$1,240.56	$5,354.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $904.75 / $2,595.87 / $4,001.04	Professional		$904.75	$2,595.87	$4,001.04