Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $1,882.44 / $14,482.00	Facility		$892.68	$1,882.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.46 / $930.87 / $4,186.56	Professional		$856.46	$930.87	$4,186.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,678.00 / $17,296.00	Facility		$5,169.00	$8,678.00	$17,296.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.89 / $2,060.03 / $5,246.92	Professional		$876.89	$2,060.03	$5,246.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,377.15 / $2,777.89 / $4,261.35	Facility		$2,377.15	$2,777.89	$4,261.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.23 / $3,646.08 / $4,143.28	Professional		$1,344.23	$3,646.08	$4,143.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $1,293.00 / $2,394.00	Facility		$892.68	$1,293.00	$2,394.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $1,856.77 / $14,246.00	Facility		$892.68	$1,856.77	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $979.03 / $1,766.26 / $14,015.54	Professional		$979.03	$1,766.26	$14,015.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $567.82 / $1,773.71	Professional		$66.47	$567.82	$1,773.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $892.68 / $1,293.00 / $2,394.00	Facility		$892.68	$1,293.00	$2,394.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,831.70 / $2,231.86 / $3,331.72	Professional		$1,831.70	$2,231.86	$3,331.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,581.49 / $7,581.49 / $7,581.49	Facility		$7,581.49	$7,581.49	$7,581.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,705.83 / $4,379.25 / $14,015.54	Professional		$1,705.83	$4,379.25	$14,015.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,950.68 / $2,950.68 / $2,950.68	Professional		$2,950.68	$2,950.68	$2,950.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,383.77 / $4,529.70 / $5,802.52	Professional		$2,383.77	$4,529.70	$5,802.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,729.00 / $11,316.00 / $15,090.00	Facility		$5,729.00	$11,316.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.90 / $1,699.15 / $3,985.12	Professional		$958.90	$1,699.15	$3,985.12