Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.94 / $891.41 / $1,894.00	Facility		$352.94	$891.41	$1,894.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.94 / $436.39 / $1,430.00	Professional		$352.94	$436.39	$1,430.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.22 / $1,049.11 / $2,700.52	Professional		$437.22	$1,049.11	$2,700.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.80 / $1,312.08 / $2,116.33	Facility		$1,122.80	$1,312.08	$2,116.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.97 / $1,086.26 / $1,630.93	Professional		$520.97	$1,086.26	$1,630.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $349.65 / $462.09 / $695.35	Facility		$349.65	$462.09	$695.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $349.65 / $683.40 / $8,384.00	Facility		$349.65	$683.40	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $497.86 / $1,418.88 / $2,892.98	Professional		$497.86	$1,418.88	$2,892.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $575.91 / $1,244.61	Professional		$85.00	$575.91	$1,244.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $317.86 / $462.09 / $695.35	Facility		$317.86	$462.09	$695.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.16 / $1,108.05 / $1,540.54	Professional		$773.16	$1,108.05	$1,540.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,851.38 / $2,851.38 / $2,851.38	Facility		$2,851.38	$2,851.38	$2,851.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $484.07 / $1,816.02 / $5,828.17	Professional		$484.07	$1,816.02	$5,828.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,787.78 / $1,787.78 / $2,207.96	Professional		$1,787.78	$1,787.78	$2,207.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,939.71 / $2,053.94 / $2,551.41	Professional		$1,939.71	$2,053.94	$2,551.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.25 / $1,242.04 / $2,092.46	Professional		$473.25	$1,242.04	$2,092.46