Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.49 / $1,318.39 / $14,482.00	Facility		$812.49	$1,318.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.40 / $812.49 / $2,493.80	Professional		$481.40	$812.49	$2,493.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.57 / $1,626.69 / $3,931.12	Professional		$688.57	$1,626.69	$3,931.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.24 / $1,914.41 / $3,087.87	Facility		$1,638.24	$1,914.41	$3,087.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.30 / $1,986.77 / $2,804.87	Professional		$1,113.30	$1,986.77	$2,804.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $644.54 / $964.00 / $1,334.50	Facility		$644.54	$964.00	$1,334.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $746.84 / $6,564.00 / $12,216.00	Facility		$746.84	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $847.75 / $2,139.40 / $4,085.30	Professional		$847.75	$2,139.40	$4,085.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $721.19 / $1,488.51	Professional		$76.54	$721.19	$1,488.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $644.54 / $964.00 / $1,334.50	Facility		$644.54	$964.00	$1,334.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,331.20 / $2,055.58 / $2,671.11	Professional		$1,331.20	$2,055.58	$2,671.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $7,984.00 / $7,984.00	Facility		$7,984.00	$7,984.00	$7,984.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,140.47 / $3,464.35 / $4,903.92	Professional		$1,140.47	$3,464.35	$4,903.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,345.56 / $3,345.56 / $3,345.56	Professional		$3,345.56	$3,345.56	$3,345.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,021.81 / $4,451.99 / $4,451.99	Professional		$3,021.81	$4,451.99	$4,451.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.28 / $2,139.40 / $3,579.05	Professional		$795.28	$2,139.40	$3,579.05