Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.54 / $1,422.63 / $14,482.00	Facility		$855.54	$1,422.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.44 / $855.54 / $2,235.69	Professional		$508.44	$855.54	$2,235.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.91 / $1,821.72 / $4,137.89	Professional		$630.91	$1,821.72	$4,137.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,851.80 / $2,163.98 / $3,490.42	Facility		$1,851.80	$2,163.98	$3,490.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $942.10 / $2,150.59 / $2,914.88	Professional		$942.10	$2,150.59	$2,914.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $695.51 / $1,000.98 / $1,359.40	Facility		$695.51	$1,000.98	$1,359.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.74 / $5,266.00 / $15,126.00	Facility		$758.74	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $751.38 / $1,881.73 / $4,553.55	Professional		$751.38	$1,881.73	$4,553.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $426.85 / $1,353.58	Professional		$62.75	$426.85	$1,353.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $695.51 / $1,000.98 / $1,359.40	Facility		$695.51	$1,000.98	$1,359.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,350.70 / $2,078.00 / $2,474.12	Professional		$1,350.70	$2,078.00	$2,474.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $978.07 / $3,208.35 / $6,630.84	Professional		$978.07	$3,208.35	$6,630.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,722.65 / $1,722.65 / $1,722.65	Professional		$1,722.65	$1,722.65	$1,722.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,547.42 / $4,197.12 / $4,197.12	Professional		$1,547.42	$4,197.12	$4,197.12
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.53 / $1,916.01 / $2,868.26	Professional		$698.53	$1,916.01	$2,868.26