Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.78 / $748.78 / $14,482.00	Facility		$748.78	$748.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.78 / $789.04 / $1,073.99	Professional		$748.78	$789.04	$1,073.99
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 $874.69 / $1,888.15 / $3,931.72	Professional		$874.69	$1,888.15	$3,931.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,318.58 / $2,709.45 / $4,156.35	Facility		$2,318.58	$2,709.45	$4,156.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.03 / $1,749.13 / $2,809.11	Professional		$844.03	$1,749.13	$2,809.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $748.78 / $1,355.46 / $2,609.21	Facility		$748.78	$1,355.46	$2,609.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $841.04 / $2,609.21 / $11,598.00	Facility		$841.04	$2,609.21	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.45 / $1,398.88 / $4,098.70	Professional		$851.45	$1,398.88	$4,098.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $526.35	Professional		$65.00	$85.00	$526.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $748.78 / $1,355.46 / $2,609.21	Facility		$748.78	$1,355.46	$2,609.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,650.60 / $2,178.79 / $3,039.42	Professional		$1,650.60	$2,178.79	$3,039.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,033.41 / $3,750.26 / $7,729.93	Professional		$1,033.41	$3,750.26	$7,729.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $805.29 / $3,177.36 / $3,177.36	Professional		$805.29	$3,177.36	$3,177.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $831.32 / $1,376.91 / $3,254.63	Professional		$831.32	$1,376.91	$3,254.63