Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.43 / $1,660.55 / $14,482.00	Facility		$129.43	$1,660.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.45 / $665.26 / $1,597.81	Professional		$114.45	$665.26	$1,597.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,314.00 / $2,550.00 / $4,471.00	Facility		$1,314.00	$2,550.00	$4,471.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $1,043.14 / $6,228.37	Professional		$185.89	$1,043.14	$6,228.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,404.43 / $3,978.35 / $6,102.89	Facility		$3,404.43	$3,978.35	$6,102.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.68 / $579.19 / $5,190.18	Professional		$188.68	$579.19	$5,190.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $831.40 / $2,021.54	Facility		$117.90	$831.40	$2,021.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.97 / $1,156.08 / $2,776.13	Facility		$116.97	$1,156.08	$2,776.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,138.09 / $3,241.70 / $9,128.95	Professional		$1,138.09	$3,241.70	$9,128.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,709.58 / $2,781.97	Professional		$85.00	$1,709.58	$2,781.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $117.90 / $831.40 / $2,021.54	Facility		$117.90	$831.40	$2,021.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $264.37 / $1,293.11 / $4,082.48	Professional		$264.37	$1,293.11	$4,082.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $2,187.65 / $2,187.65	Facility		$202.58	$2,187.65	$2,187.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $224.37 / $3,912.54 / $9,128.95	Professional		$224.37	$3,912.54	$9,128.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $528.82 / $2,944.32 / $6,337.20	Professional		$528.82	$2,944.32	$6,337.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $2,910.00 / $4,155.00	Facility		$2,367.00	$2,910.00	$4,155.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.95 / $2,505.25 / $5,225.22	Professional		$1,143.95	$2,505.25	$5,225.22