Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.27 / $1,600.94 / $14,482.00	Facility		$976.27	$1,600.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $609.29 / $873.84 / $2,401.39	Professional		$609.29	$873.84	$2,401.39
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 $680.11 / $1,260.49 / $3,332.21	Professional		$680.11	$1,260.49	$3,332.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,133.52 / $1,927.81 / $4,998.32	Professional	50	$1,133.52	$1,927.81	$4,998.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,075.28 / $2,425.13 / $3,911.65	Facility		$2,075.28	$2,425.13	$3,911.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.74 / $1,614.76 / $3,338.87	Professional		$744.74	$1,614.76	$3,338.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $629.59 / $956.11 / $1,495.95	Facility		$629.59	$956.11	$1,495.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $682.23 / $1,283.67 / $8,384.00	Facility		$682.23	$1,283.67	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $756.42 / $1,647.60 / $5,797.76	Professional		$756.42	$1,647.60	$5,797.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $429.71 / $1,294.52	Professional		$62.75	$429.71	$1,294.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $629.59 / $956.11 / $1,698.06	Facility		$629.59	$956.11	$1,698.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,262.30 / $1,818.97 / $2,618.69	Professional		$1,262.30	$1,818.97	$2,618.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,572.72 / $4,572.72 / $4,572.72	Facility		$4,572.72	$4,572.72	$4,572.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,104.65 / $3,314.66 / $5,797.76	Professional		$1,104.65	$3,314.66	$5,797.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,501.14 / $6,325.34 / $7,573.21	Professional		$2,501.14	$6,325.34	$7,573.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,665.92 / $7,611.00 / $9,134.00	Facility		$4,665.92	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.34 / $1,424.16 / $3,355.39	Professional		$761.34	$1,424.16	$3,355.39