Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.80 / $938.68 / $14,482.00	Facility		$421.80	$938.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.80 / $445.14 / $1,773.06	Professional		$421.80	$445.14	$1,773.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.24 / $1,018.62 / $2,517.29	Professional		$447.24	$1,018.62	$2,517.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,189.48 / $1,390.00 / $2,132.30	Facility		$1,189.48	$1,390.00	$2,132.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.71 / $1,761.28 / $2,001.45	Professional		$676.71	$1,761.28	$2,001.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $421.80 / $625.79 / $938.68	Facility		$421.80	$625.79	$938.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $421.80 / $759.24 / $5,261.00	Facility		$421.80	$759.24	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $492.62 / $892.08 / $3,951.10	Professional		$492.62	$892.08	$3,951.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $368.81 / $975.91	Professional		$62.75	$368.81	$975.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $421.80 / $619.91 / $938.68	Facility		$421.80	$619.91	$938.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $884.65 / $1,077.91 / $1,609.11	Professional		$884.65	$1,077.91	$1,609.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $884.85 / $2,219.10 / $3,951.10	Professional		$884.85	$2,219.10	$3,951.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,586.71 / $1,586.71 / $1,586.71	Professional		$1,586.71	$1,586.71	$1,586.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,471.14 / $2,624.33 / $2,637.30	Professional		$1,471.14	$2,624.33	$2,637.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.84 / $887.64 / $1,997.19	Professional		$480.84	$887.64	$1,997.19