Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.30 / $1,763.44 / $14,482.00	Facility		$852.30	$1,763.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.36 / $879.94 / $3,814.34	Professional		$809.36	$879.94	$3,814.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,955.00 / $13,152.00	Facility		$5,060.00	$7,955.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $773.51 / $1,704.60 / $5,048.00	Professional		$773.51	$1,704.60	$5,048.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,275.33 / $2,658.90 / $4,078.82	Facility		$2,275.33	$2,658.90	$4,078.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.06 / $3,454.23 / $3,925.26	Professional		$1,243.06	$3,454.23	$3,925.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $852.30 / $1,056.33 / $1,806.88	Facility		$852.30	$1,056.33	$1,806.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $852.30 / $1,371.44 / $11,100.00	Facility		$852.30	$1,371.44	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $880.03 / $1,603.94 / $6,399.12	Professional		$880.03	$1,603.94	$6,399.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $496.31 / $1,620.17	Professional		$94.25	$496.31	$1,620.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $852.30 / $1,050.00 / $1,806.88	Facility		$852.30	$1,050.00	$1,806.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,699.10 / $2,070.29 / $3,090.53	Professional		$1,699.10	$2,070.29	$3,090.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,073.84 / $4,073.84 / $4,073.84	Facility		$4,073.84	$4,073.84	$4,073.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,616.08 / $3,989.90 / $6,399.12	Professional		$1,616.08	$3,989.90	$6,399.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,838.81 / $2,838.81 / $2,838.81	Professional		$2,838.81	$2,838.81	$2,838.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,332.64 / $4,307.47 / $5,497.18	Professional		$2,332.64	$4,307.47	$5,497.18
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 $850.21 / $1,595.96 / $3,630.81	Professional		$850.21	$1,595.96	$3,630.81