Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.60 / $1,485.34 / $3,119.00	Facility		$604.60	$1,485.34	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.60 / $668.88 / $2,418.40	Professional		$604.60	$668.88	$2,418.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $6,787.00 / $10,517.23	Facility		$1,183.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.64 / $1,690.58 / $3,415.74	Professional		$765.64	$1,690.58	$3,415.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,060.86 / $2,408.28 / $3,694.36	Facility		$2,060.86	$2,408.28	$3,694.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.84 / $1,155.27 / $2,290.19	Professional		$710.84	$1,155.27	$2,290.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $665.55 / $987.48 / $2,234.16	Facility		$665.55	$987.48	$2,234.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $710.93 / $1,580.64 / $10,843.00	Facility		$710.93	$1,580.64	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $719.90 / $1,274.84 / $5,361.44	Professional		$719.90	$1,274.84	$5,361.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $457.20 / $1,478.93	Professional		$63.88	$457.20	$1,478.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $665.55 / $987.48 / $2,234.16	Facility		$665.55	$987.48	$2,234.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,436.50 / $2,022.51 / $2,643.30	Professional		$1,436.50	$2,022.51	$2,643.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,392.92 / $1,861.62 / $5,097.00	Facility		$1,392.92	$1,861.62	$5,097.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $833.44 / $3,024.59 / $5,854.96	Professional		$833.44	$3,024.59	$5,854.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,329.57 / $1,329.57 / $1,465.26	Professional		$1,329.57	$1,329.57	$1,465.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.18 / $2,705.15 / $3,351.37	Professional		$1,282.18	$2,705.15	$3,351.37
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 $717.63 / $1,247.47 / $3,186.04	Professional		$717.63	$1,247.47	$3,186.04