Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.58 / $600.80 / $3,119.00	Facility		$193.58	$600.80	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $517.52 / $840.38	Professional		$153.87	$517.52	$840.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,159.00 / $9,649.00 / $12,444.00	Facility		$6,159.00	$9,649.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.57 / $772.71 / $2,635.63	Professional		$248.57	$772.71	$2,635.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,239.94 / $1,448.97 / $2,337.14	Facility		$1,239.94	$1,448.97	$2,337.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $711.09 / $1,838.78	Professional		$296.39	$711.09	$1,838.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $348.14 / $891.50	Facility		$167.71	$348.14	$891.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $178.89 / $891.50 / $1,789.00	Facility		$178.89	$891.50	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $709.02 / $1,781.43 / $3,367.03	Professional		$709.02	$1,781.43	$3,367.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $558.08 / $1,144.54	Professional		$85.00	$558.08	$1,144.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $348.14 / $891.50	Facility		$167.71	$348.14	$891.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $366.52 / $705.11 / $1,548.96	Professional		$366.52	$705.11	$1,548.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $767.74 / $767.74 / $767.74	Facility		$767.74	$767.74	$767.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $293.68 / $1,781.43 / $5,227.58	Professional		$293.68	$1,781.43	$5,227.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $825.82 / $1,057.41 / $3,469.41	Professional		$825.82	$1,057.41	$3,469.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $573.20 / $1,711.81 / $2,922.59	Professional		$573.20	$1,711.81	$2,922.59