Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.40 / $1,002.71 / $14,482.00	Facility		$445.40	$1,002.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.40 / $510.71 / $1,894.01	Professional		$445.40	$510.71	$1,894.01
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 $452.69 / $1,075.17 / $2,600.98	Professional		$452.69	$1,075.17	$2,600.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,270.58 / $1,484.77 / $2,277.67	Facility		$1,270.58	$1,484.77	$2,277.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.03 / $1,882.96 / $2,139.73	Professional		$743.03	$1,882.96	$2,139.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $445.40 / $633.77 / $1,002.71	Facility		$445.40	$633.77	$1,002.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.65 / $723.66 / $7,891.00	Facility		$445.65	$723.66	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.97 / $912.14 / $3,665.92	Professional		$477.97	$912.14	$3,665.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $419.73 / $1,088.37	Professional		$62.75	$419.73	$1,088.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $445.40 / $623.55 / $1,002.71	Facility		$445.40	$623.55	$1,002.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,018.55 / $1,241.06 / $1,852.66	Professional		$1,018.55	$1,241.06	$1,852.66
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 $945.99 / $2,260.44 / $3,665.92	Professional		$945.99	$2,260.44	$3,665.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.61 / $1,666.61 / $1,666.61	Professional		$1,666.61	$1,666.61	$1,666.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,508.01 / $2,635.90 / $2,819.57	Professional		$1,508.01	$2,635.90	$2,819.57
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 $482.01 / $821.03 / $1,981.28	Professional		$482.01	$821.03	$1,981.28