Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.42 / $998.44 / $14,482.00	Facility		$608.42	$998.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.69 / $608.42 / $1,626.66	Professional		$326.69	$608.42	$1,626.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.57 / $1,145.43 / $2,916.41	Professional		$478.57	$1,145.43	$2,916.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,256.16 / $1,467.92 / $2,367.71	Facility		$1,256.16	$1,467.92	$2,367.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.12 / $1,501.30 / $2,019.99	Professional		$914.12	$1,501.30	$2,019.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $488.13 / $749.85 / $984.88	Facility		$488.13	$749.85	$984.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $538.45 / $6,564.00 / $12,216.00	Facility		$538.45	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $569.16 / $1,437.16 / $2,796.63	Professional		$569.16	$1,437.16	$2,796.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $450.94 / $1,043.59	Professional		$68.40	$450.94	$1,043.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $488.13 / $749.85 / $984.88	Facility		$488.13	$749.85	$984.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $950.95 / $1,468.41 / $2,018.43	Professional		$950.95	$1,468.41	$2,018.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $934.38 / $2,715.00 / $3,840.47	Professional		$934.38	$2,715.00	$3,840.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,481.98 / $2,481.98 / $2,481.98	Professional		$2,481.98	$2,481.98	$2,481.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,206.08 / $3,364.20 / $3,364.20	Professional		$2,206.08	$3,364.20	$3,364.20
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 $564.97 / $1,437.16 / $2,345.48	Professional		$564.97	$1,437.16	$2,345.48