Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.13 / $1,593.72 / $14,482.00	Facility		$980.13	$1,593.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.23 / $980.13 / $2,862.41	Professional		$550.23	$980.13	$2,862.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $768.20 / $1,893.41 / $4,732.80	Professional		$768.20	$1,893.41	$4,732.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.46 / $2,316.67 / $3,736.70	Facility		$1,982.46	$2,316.67	$3,736.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.81 / $2,400.81 / $3,572.58	Professional		$1,345.81	$2,400.81	$3,572.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $779.15 / $1,230.22 / $2,015.88	Facility		$779.15	$1,230.22	$2,015.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $900.85 / $2,553.00 / $7,700.00	Facility		$900.85	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $958.39 / $2,576.39 / $4,551.28	Professional		$958.39	$2,576.39	$4,551.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $915.14 / $1,859.38	Professional		$76.54	$915.14	$1,859.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $779.15 / $1,230.22 / $2,015.88	Facility		$779.15	$1,230.22	$2,015.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,605.50 / $2,479.14 / $3,227.76	Professional		$1,605.50	$2,479.14	$3,227.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,375.86 / $10,375.86 / $10,375.86	Facility		$10,375.86	$10,375.86	$10,375.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,378.14 / $3,859.50 / $10,151.00	Professional		$1,378.14	$3,859.50	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,027.81 / $4,027.81 / $4,027.81	Professional		$4,027.81	$4,027.81	$4,027.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,618.81 / $5,379.79 / $5,379.79	Professional		$3,618.81	$5,379.79	$5,379.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $926.28 / $2,570.37 / $3,808.82	Professional		$926.28	$2,570.37	$3,808.82