Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.84 / $1,486.89 / $14,482.00	Facility		$920.84	$1,486.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.76 / $920.84 / $1,486.89	Professional		$522.76	$920.84	$1,486.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $28,720.00	Facility		$12,080.00	$18,175.43	$28,720.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.41 / $1,736.10 / $4,483.41	Professional		$732.41	$1,736.10	$4,483.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.11 / $2,171.35 / $3,502.31	Facility		$1,858.11	$2,171.35	$3,502.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.60 / $2,246.46 / $2,973.87	Professional		$1,255.60	$2,246.46	$2,973.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $726.92 / $1,152.94 / $1,420.81	Facility		$726.92	$1,152.94	$1,420.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $834.92 / $3,364.00 / $7,868.00	Facility		$834.92	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $888.19 / $2,471.81 / $4,142.43	Professional		$888.19	$2,471.81	$4,142.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $809.08 / $1,784.73	Professional		$85.00	$809.08	$1,784.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $726.92 / $1,152.94 / $1,420.81	Facility		$726.92	$1,152.94	$1,420.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,234.44 / $1,803.20 / $2,595.98	Professional		$1,234.44	$1,803.20	$2,595.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,656.45 / $9,656.45 / $9,656.45	Facility		$9,656.45	$9,656.45	$9,656.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,289.55 / $3,054.20 / $5,521.36	Professional		$1,289.55	$3,054.20	$5,521.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,815.57 / $3,815.57 / $3,815.57	Professional		$3,815.57	$3,815.57	$3,815.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,033.93 / $5,033.93 / $5,033.93	Professional		$5,033.93	$5,033.93	$5,033.93
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 $888.19 / $2,603.19 / $3,505.06	Professional		$888.19	$2,603.19	$3,505.06