Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.12 / $1,606.45 / $14,482.00	Facility		$484.12	$1,606.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.06 / $484.12 / $1,296.83	Professional		$413.06	$484.12	$1,296.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $7,344.00 / $10,382.04	Facility		$5,169.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.76 / $993.06 / $2,552.14	Professional		$430.76	$993.06	$2,552.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,129.09 / $1,319.45 / $2,024.06	Facility		$1,129.09	$1,319.45	$2,024.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.35 / $1,509.21 / $1,799.44	Professional		$558.35	$1,509.21	$1,799.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $440.67 / $603.05 / $1,001.53	Facility		$440.67	$603.05	$1,001.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $440.67 / $680.10 / $9,011.04	Facility		$440.67	$680.10	$9,011.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $481.60 / $1,080.68 / $3,888.00	Professional		$481.60	$1,080.68	$3,888.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $605.67 / $1,033.26	Professional		$67.92	$605.67	$1,033.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $439.96 / $601.66 / $994.04	Facility		$439.96	$601.66	$994.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.00 / $1,108.28 / $1,820.41	Professional		$831.00	$1,108.28	$1,820.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $520.97 / $9,011.04 / $9,011.04	Facility		$520.97	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.41 / $2,152.65 / $3,888.00	Professional		$773.41	$2,152.65	$3,888.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,609.25 / $1,609.25 / $1,609.25	Professional		$1,609.25	$1,609.25	$1,609.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,423.63 / $2,197.10 / $2,197.10	Professional		$1,423.63	$2,197.10	$2,197.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,953.00 / $12,062.00	Facility		$4,240.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $452.63 / $872.34 / $1,942.77	Professional		$452.63	$872.34	$1,942.77