Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.84 / $1,956.33 / $17,983.48	Facility		$930.84	$1,956.33	$17,983.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $892.73 / $978.51 / $3,807.17	Professional		$892.73	$978.51	$3,807.17
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 $898.15 / $2,148.08 / $5,480.67	Professional		$898.15	$2,148.08	$5,480.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,476.28 / $2,893.73 / $4,439.05	Facility		$2,476.28	$2,893.73	$4,439.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,396.68 / $3,796.89 / $4,314.64	Professional		$1,396.68	$3,796.89	$4,314.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $930.84 / $1,303.18 / $2,173.69	Facility		$930.84	$1,303.18	$2,173.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $930.84 / $1,883.90 / $14,246.00	Facility		$930.84	$1,883.90	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,031.46 / $1,985.17 / $7,097.44	Professional		$1,031.46	$1,985.17	$7,097.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $573.38 / $1,812.00	Professional		$66.47	$573.38	$1,812.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $930.84 / $1,303.18 / $2,173.69	Facility		$930.84	$1,303.18	$2,173.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,903.20 / $2,318.98 / $3,461.77	Professional		$1,903.20	$2,318.98	$3,461.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,637.30 / $5,637.30 / $5,637.30	Facility		$5,637.30	$5,637.30	$5,637.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,776.39 / $4,532.35 / $7,097.44	Professional		$1,776.39	$4,532.35	$7,097.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,082.10 / $3,082.10 / $3,082.10	Professional		$3,082.10	$3,082.10	$3,082.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.43 / $4,714.18 / $6,042.51	Professional		$1,847.43	$4,714.18	$6,042.51
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.75 / $1,849.20 / $4,124.43	Professional		$1,026.75	$1,849.20	$4,124.43