Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $1,702.98 / $5,115.70	Facility		$50.51	$1,702.98	$5,115.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.51 / $764.94 / $1,523.37	Professional		$50.51	$764.94	$1,523.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $934.70 / $4,498.00	Professional		$93.54	$934.70	$4,498.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,358.23 / $2,755.78 / $4,444.97	Facility		$2,358.23	$2,755.78	$4,444.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $246.50 / $3,099.40	Professional		$91.03	$246.50	$3,099.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $123.51 / $1,308.58	Facility		$50.51	$123.51	$1,308.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.62 / $1,124.00 / $1,789.00	Facility		$54.62	$1,124.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,020.13 / $3,059.07 / $5,629.59	Professional		$1,020.13	$3,059.07	$5,629.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $794.91 / $2,084.84	Professional		$85.00	$794.91	$2,084.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $123.51 / $1,308.58	Facility		$50.51	$123.51	$1,308.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $116.27 / $880.91 / $2,895.45	Professional		$116.27	$880.91	$2,895.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,487.27 / $1,487.27 / $1,487.27	Facility		$1,487.27	$1,487.27	$1,487.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $1,631.47 / $6,302.40	Professional		$69.15	$1,631.47	$6,302.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $4,254.72 / $5,157.31	Professional		$293.39	$4,254.72	$5,157.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.70 / $2,818.99 / $4,324.14	Professional		$1,045.70	$2,818.99	$4,324.14