Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.25 / $743.22 / $3,119.00	Facility		$396.25	$743.22	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.76 / $466.36 / $1,239.09	Professional		$337.76	$466.36	$1,239.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.09 / $1,005.08 / $2,636.76	Professional		$479.09	$1,005.08	$2,636.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,345.37 / $1,572.17 / $2,411.75	Facility		$1,345.37	$1,572.17	$2,411.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.65 / $760.18 / $1,841.58	Professional		$426.65	$760.18	$1,841.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $396.25 / $624.40 / $1,374.33	Facility		$396.25	$624.40	$1,374.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $396.38 / $876.94 / $5,261.00	Facility		$396.38	$876.94	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.19 / $952.00 / $2,975.07	Professional		$513.19	$952.00	$2,975.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $410.05 / $1,036.10	Professional		$29.98	$410.05	$1,036.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $396.25 / $624.40 / $1,374.33	Facility		$396.25	$624.40	$1,374.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $795.03 / $1,173.15 / $1,709.91	Professional		$795.03	$1,173.15	$1,709.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $696.98 / $931.50 / $2,528.16	Facility		$696.98	$931.50	$2,528.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $505.84 / $1,715.00 / $3,745.28	Professional		$505.84	$1,715.00	$3,745.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,338.38 / $1,804.09 / $2,555.17	Professional		$1,338.38	$1,804.09	$2,555.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.33 / $760.91 / $2,131.44	Professional		$491.33	$760.91	$2,131.44