Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.92 / $1,794.92 / $14,482.00	Facility		$733.92	$1,794.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.39 / $733.92 / $2,386.10	Professional		$471.39	$733.92	$2,386.10
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 $464.51 / $947.59 / $2,288.15	Professional		$464.51	$947.59	$2,288.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.81 / $1,514.26 / $2,442.44	Facility		$1,295.81	$1,514.26	$2,442.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.85 / $1,182.23 / $1,768.03	Professional		$579.85	$1,182.23	$1,768.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $471.39 / $681.41 / $996.55	Facility		$471.39	$681.41	$996.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $511.53 / $4,240.00 / $11,598.00	Facility		$511.53	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.08 / $993.00 / $3,648.72	Professional		$477.08	$993.00	$3,648.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $311.32 / $824.75	Professional		$57.10	$311.32	$824.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $471.39 / $681.41 / $1,288.52	Facility		$471.39	$681.41	$1,288.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.00 / $1,148.40 / $1,630.09	Professional		$870.00	$1,148.40	$1,630.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $808.90 / $2,386.10 / $3,648.72	Professional		$808.90	$2,386.10	$3,648.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,291.53 / $2,291.53 / $2,291.53	Professional		$2,291.53	$2,291.53	$2,291.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,884.26 / $2,958.89 / $4,752.32	Professional		$1,884.26	$2,958.89	$4,752.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.55 / $901.95 / $2,091.42	Professional		$481.55	$901.95	$2,091.42