Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,398.83	Facility		$812.83	$1,174.90	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,288.25	Professional		$794.33	$794.33	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,000.00	Professional		$794.33	$794.33	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $2,754.23	Facility		$794.33	$1,584.89	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $1,479.11	Professional		$812.83	$1,288.25	$1,479.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,023.29	Facility		$794.33	$794.33	$1,023.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Professional		$1,202.26	$1,584.89	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $870.96 / $3,388.44	Facility		$794.33	$870.96	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,174.90	Professional		$602.56	$794.33	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $1,122.02	Professional		$50.12	$64.57	$1,122.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $2,089.30	Professional		$794.33	$891.25	$2,089.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $812.83 / $3,388.44	Facility		$794.33	$812.83	$3,388.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,318.26	Professional		$1,071.52	$1,071.52	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $302.00 / $758.58	Facility		$7.59	$302.00	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $794.33 / $1,096.48	Professional		$316.23	$794.33	$1,096.48