Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.51 / $1,027.93 / $14,482.00	Facility		$745.51	$1,027.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.08 / $796.37 / $2,061.38	Professional		$495.08	$796.37	$2,061.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.29 / $962.55 / $2,533.92	Professional		$523.29	$962.55	$2,533.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.06 / $1,650.10 / $2,661.55	Facility		$1,412.06	$1,650.10	$2,661.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.21 / $1,165.04 / $2,424.48	Professional		$565.21	$1,165.04	$2,424.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $508.77 / $775.29 / $1,083.59	Facility		$508.77	$775.29	$1,083.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $548.23 / $1,018.73 / $4,130.00	Facility		$548.23	$1,018.73	$4,130.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $599.04 / $1,407.76 / $5,460.92	Professional		$599.04	$1,407.76	$5,460.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $267.85 / $840.33	Professional		$58.42	$267.85	$840.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $508.77 / $776.05 / $1,293.00	Facility		$508.77	$776.05	$1,293.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $962.00 / $1,244.23 / $1,784.03	Professional		$962.00	$1,244.23	$1,784.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,075.54 / $4,075.54 / $4,075.54	Facility		$4,075.54	$4,075.54	$4,075.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $837.29 / $2,422.19 / $5,460.92	Professional		$837.29	$2,422.19	$5,460.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.65 / $4,839.28 / $5,160.26	Professional		$2,131.65	$4,839.28	$5,160.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $3,068.00 / $4,295.00	Facility		$1,944.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.04 / $1,051.22 / $2,308.76	Professional		$599.04	$1,051.22	$2,308.76