Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.15 / $827.69 / $14,482.00	Facility		$482.15	$827.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.14 / $482.15 / $1,384.96	Professional		$333.14	$482.15	$1,384.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,835.00 / $7,344.00	Facility		$2,740.00	$4,835.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $387.56 / $1,014.15 / $1,776.25	Professional		$387.56	$1,014.15	$1,776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.90 / $1,225.73 / $1,977.05	Facility		$1,048.90	$1,225.73	$1,977.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.17 / $1,200.84 / $1,388.52	Professional		$570.17	$1,200.84	$1,388.52
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $441.43 / $564.12 / $1,540.96	Facility		$441.43	$564.12	$1,540.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $441.43 / $1,540.96 / $7,700.00	Facility		$441.43	$1,540.96	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $469.06 / $993.82 / $1,955.55	Professional		$469.06	$993.82	$1,955.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $329.65 / $824.64	Professional		$65.00	$329.65	$824.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $441.43 / $564.12 / $1,540.96	Facility		$441.43	$564.12	$1,540.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $836.55 / $1,156.76 / $1,461.52	Professional		$836.55	$1,156.76	$1,461.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,471.69 / $2,471.69 / $2,471.69	Facility		$2,471.69	$2,471.69	$2,471.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $588.26 / $1,952.10 / $3,075.36	Professional		$588.26	$1,952.10	$3,075.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $749.72 / $749.72 / $749.72	Professional		$749.72	$749.72	$749.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $792.67 / $1,265.74 / $1,549.00	Professional		$792.67	$1,265.74	$1,549.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.06 / $1,019.13 / $1,709.18	Professional		$469.06	$1,019.13	$1,709.18