Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.01 / $1,839.26 / $14,482.00	Facility		$750.01	$1,839.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.01 / $783.86 / $2,692.86	Professional		$750.01	$783.86	$2,692.86
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 $848.85 / $1,884.05 / $3,996.86	Professional		$848.85	$1,884.05	$3,996.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,333.90 / $2,727.35 / $4,183.82	Facility		$2,333.90	$2,727.35	$4,183.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.87 / $1,776.32 / $2,595.60	Professional		$881.87	$1,776.32	$2,595.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $817.45 / $1,188.39 / $2,565.81	Facility		$817.45	$1,188.39	$2,565.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $875.19 / $2,452.35 / $8,384.00	Facility		$875.19	$2,452.35	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $829.60 / $1,379.38 / $3,750.54	Professional		$829.60	$1,379.38	$3,750.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $542.36 / $1,624.19	Professional		$63.88	$542.36	$1,624.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $817.45 / $1,188.39 / $2,565.81	Facility		$817.45	$1,188.39	$2,565.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,702.54 / $2,182.94 / $3,097.92	Professional		$1,702.54	$2,182.94	$3,097.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,623.24 / $7,369.32 / $7,369.32	Facility		$4,623.24	$7,369.32	$7,369.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,034.57 / $3,754.49 / $6,637.92	Professional		$1,034.57	$3,754.49	$6,637.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.62 / $1,650.62 / $1,650.62	Professional		$1,650.62	$1,650.62	$1,650.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,574.29 / $2,760.75 / $3,798.25	Professional		$1,574.29	$2,760.75	$3,798.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,193.00 / $6,477.00 / $8,384.00	Facility		$3,193.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.51 / $1,351.84 / $3,348.70	Professional		$798.51	$1,351.84	$3,348.70