Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.42 / $1,894.00 / $6,536.06	Facility		$176.42	$1,894.00	$6,536.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.42 / $921.65 / $2,255.94	Professional		$176.42	$921.65	$2,255.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $1,957.80 / $9,421.41	Professional		$326.70	$1,957.80	$9,421.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,920.12 / $5,749.54 / $9,273.81	Facility		$4,920.12	$5,749.54	$9,273.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $704.38 / $6,484.04	Professional		$316.00	$704.38	$6,484.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $176.42 / $401.20 / $2,740.92	Facility		$176.42	$401.20	$2,740.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.60 / $1,449.00 / $3,504.37	Facility		$189.60	$1,449.00	$3,504.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,950.64 / $5,554.15 / $11,282.40	Professional		$1,950.64	$5,554.15	$11,282.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,730.53 / $4,248.28	Professional		$85.00	$1,730.53	$4,248.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $176.42 / $401.20 / $2,740.92	Facility		$176.42	$401.20	$2,740.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $404.25 / $1,899.22 / $6,242.54	Professional		$404.25	$1,899.22	$6,242.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,217.68 / $3,217.68 / $3,217.68	Facility		$3,217.68	$3,217.68	$3,217.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $238.78 / $3,413.10 / $13,214.00	Professional		$238.78	$3,413.10	$13,214.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $894.08 / $894.08 / $10,113.93	Professional		$894.08	$894.08	$10,113.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.18 / $10,203.79 / $10,789.34	Professional		$1,013.18	$10,203.79	$10,789.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,950.64 / $5,707.77 / $9,216.46	Professional		$1,950.64	$5,707.77	$9,216.46