Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.06 / $874.04 / $6,461.00	Facility		$371.06	$874.04	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.37 / $542.16 / $1,838.07	Professional		$399.37	$542.16	$1,838.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.33 / $1,136.32 / $3,008.07	Professional		$483.33	$1,136.32	$3,008.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,458.91 / $1,704.86 / $2,615.29	Facility		$1,458.91	$1,704.86	$2,615.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.52 / $1,156.16 / $2,273.71	Professional		$526.52	$1,156.16	$2,273.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $556.91 / $1,063.03	Facility		$315.00	$556.91	$1,063.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $350.81 / $580.79 / $3,002.09	Facility		$350.81	$580.79	$3,002.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $538.41 / $1,809.75 / $4,088.00	Professional		$538.41	$1,809.75	$4,088.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $384.04 / $1,134.66	Professional		$47.36	$384.04	$1,134.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $306.04 / $546.37 / $1,088.76	Facility		$306.04	$546.37	$1,088.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $909.63 / $1,330.71 / $1,915.76	Professional		$909.63	$1,330.71	$1,915.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $723.47 / $3,001.26 / $3,590.15	Facility		$723.47	$3,001.26	$3,590.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $737.20 / $2,326.05 / $4,088.00	Professional		$737.20	$2,326.05	$4,088.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,447.08 / $2,117.50 / $2,776.19	Professional		$1,447.08	$2,117.50	$2,776.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,628.00 / $5,471.00	Facility		$2,781.00	$3,628.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $523.04 / $1,283.69 / $2,360.26	Professional		$523.04	$1,283.69	$2,360.26