Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.06 / $1,895.08 / $14,482.00	Facility		$899.06	$1,895.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.65 / $937.21 / $4,238.18	Professional		$863.65	$937.21	$4,238.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $889.08 / $1,909.64 / $5,288.01	Professional		$889.08	$1,909.64	$5,288.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,389.77 / $2,792.64 / $4,283.97	Facility		$2,389.77	$2,792.64	$4,283.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,351.29 / $3,670.32 / $4,170.81	Professional		$1,351.29	$3,670.32	$4,170.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $899.06 / $1,210.23 / $1,906.01	Facility		$899.06	$1,210.23	$1,906.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $899.06 / $1,512.36 / $14,246.00	Facility		$899.06	$1,512.36	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $895.25 / $1,782.17 / $6,870.88	Professional		$895.25	$1,782.17	$6,870.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $557.31 / $1,759.73	Professional		$66.47	$557.31	$1,759.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $899.06 / $1,207.50 / $1,906.01	Facility		$899.06	$1,207.50	$1,906.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,846.65 / $2,250.07 / $3,358.91	Professional		$1,846.65	$2,250.07	$3,358.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,638.26 / $7,638.26 / $7,638.26	Facility		$7,638.26	$7,638.26	$7,638.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,717.17 / $4,433.25 / $6,870.88	Professional		$1,717.17	$4,433.25	$6,870.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,973.77 / $2,973.77 / $2,973.77	Professional		$2,973.77	$2,973.77	$2,973.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.27 / $4,572.85 / $5,841.05	Professional		$1,634.27	$4,572.85	$5,841.05
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $895.25 / $1,652.21 / $3,901.26	Professional		$895.25	$1,652.21	$3,901.26