Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.03 / $1,401.68 / $14,482.00	Facility		$870.03	$1,401.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.11 / $870.03 / $2,476.05	Professional		$482.11	$870.03	$2,476.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $696.66 / $1,700.07 / $4,220.46	Professional		$696.66	$1,700.07	$4,220.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,741.87 / $2,035.51 / $3,283.20	Facility		$1,741.87	$2,035.51	$3,283.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.93 / $2,111.81 / $2,795.47	Professional		$1,245.93	$2,111.81	$2,795.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $685.27 / $975.32 / $1,350.97	Facility		$685.27	$975.32	$1,350.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $789.87 / $2,803.00 / $7,868.00	Facility		$789.87	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $837.24 / $2,414.03 / $3,898.10	Professional		$837.24	$2,414.03	$3,898.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $970.91 / $1,684.55	Professional		$85.00	$970.91	$1,684.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $685.27 / $975.32 / $1,350.97	Facility		$685.27	$975.32	$1,350.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,405.95 / $2,171.00 / $2,839.23	Professional		$1,405.95	$2,171.00	$2,839.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,373.72 / $17,373.72 / $17,373.72	Facility		$17,373.72	$17,373.72	$17,373.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,212.25 / $3,458.50 / $5,204.96	Professional		$1,212.25	$3,458.50	$5,204.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,591.76 / $3,591.76 / $3,591.76	Professional		$3,591.76	$3,591.76	$3,591.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,732.18 / $4,732.18 / $4,732.18	Professional		$4,732.18	$4,732.18	$4,732.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.24 / $2,241.60 / $3,403.88	Professional		$837.24	$2,241.60	$3,403.88