Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.62 / $1,385.35 / $14,482.00	Facility		$560.62	$1,385.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.62 / $721.65 / $2,261.85	Professional		$560.62	$721.65	$2,261.85
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 $829.91 / $1,661.40 / $3,556.94	Professional		$829.91	$1,661.40	$3,556.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,276.23 / $2,659.95 / $4,080.44	Facility		$2,276.23	$2,659.95	$4,080.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.95 / $1,231.42 / $2,506.41	Professional		$632.95	$1,231.42	$2,506.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $652.26 / $1,004.60 / $2,307.15	Facility		$652.26	$1,004.60	$2,307.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $661.32 / $1,471.19 / $7,318.09	Facility		$661.32	$1,471.19	$7,318.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $782.56 / $1,667.14 / $5,061.00	Professional		$782.56	$1,667.14	$5,061.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $489.59 / $1,521.50	Professional		$93.48	$489.59	$1,521.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $652.26 / $1,004.60 / $2,307.15	Facility		$652.26	$1,004.60	$2,307.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,452.78 / $2,009.07 / $2,801.70	Professional		$1,452.78	$2,009.07	$2,801.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,299.15 / $1,736.30 / $4,687.32	Facility		$1,299.15	$1,736.30	$4,687.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $803.72 / $3,302.85 / $6,335.28	Professional		$803.72	$3,302.85	$6,335.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.97 / $1,223.97 / $1,585.14	Professional		$1,223.97	$1,223.97	$1,585.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,342.15 / $2,859.92 / $3,667.74	Professional		$1,342.15	$2,859.92	$3,667.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.56 / $1,344.66 / $3,574.27	Professional		$782.56	$1,344.66	$3,574.27