Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.86 / $1,956.49 / $5,282.55	Facility		$218.86	$1,956.49	$5,282.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.90 / $879.34 / $1,700.79	Professional		$197.90	$879.34	$1,700.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.94 / $1,243.32 / $5,688.93	Professional		$289.94	$1,243.32	$5,688.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,633.97 / $3,078.01 / $4,721.74	Facility		$2,633.97	$3,078.01	$4,721.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.55 / $1,026.89 / $4,038.01	Professional		$319.55	$1,026.89	$4,038.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $198.44 / $864.12 / $1,869.53	Facility		$198.44	$864.12	$1,869.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.66 / $956.51 / $7,081.00	Facility		$198.66	$956.51	$7,081.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,347.62 / $4,036.78 / $7,464.05	Professional		$1,347.62	$4,036.78	$7,464.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,369.68 / $2,334.30	Professional		$85.00	$1,369.68	$2,334.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $198.66 / $864.12 / $1,869.53	Facility		$198.66	$864.12	$1,869.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $442.11 / $1,014.35 / $3,202.39	Professional		$442.11	$1,014.35	$3,202.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $338.95 / $1,726.99 / $1,726.99	Facility		$338.95	$1,726.99	$1,726.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $377.12 / $3,870.36 / $7,464.05	Professional		$377.12	$3,870.36	$7,464.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $813.77 / $990.35 / $4,930.38	Professional		$813.77	$990.35	$4,930.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,231.02 / $2,636.59 / $5,325.99	Professional		$1,231.02	$2,636.59	$5,325.99