Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.99 / $1,100.54 / $14,482.00	Facility		$677.99	$1,100.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.12 / $677.99 / $2,067.73	Professional		$406.12	$677.99	$2,067.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.19 / $1,358.10 / $3,299.67	Professional		$586.19	$1,358.10	$3,299.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.60 / $1,601.66 / $2,583.42	Facility		$1,370.60	$1,601.66	$2,583.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $999.20 / $1,658.72 / $2,432.09	Professional		$999.20	$1,658.72	$2,432.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $538.04 / $850.81 / $2,100.00	Facility		$538.04	$850.81	$2,100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $621.84 / $6,241.00 / $12,216.00	Facility		$621.84	$6,241.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $702.91 / $1,769.15 / $3,431.88	Professional		$702.91	$1,769.15	$3,431.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $644.89 / $1,313.45	Professional		$76.54	$644.89	$1,313.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $538.04 / $850.81 / $2,100.00	Facility		$538.04	$850.81	$2,100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,108.25 / $1,711.31 / $2,230.07	Professional		$1,108.25	$1,711.31	$2,230.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $9,011.04 / $9,011.04	Facility		$9,011.04	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,032.34 / $2,910.25 / $4,505.85	Professional		$1,032.34	$2,910.25	$4,505.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,787.22 / $2,787.22 / $2,787.22	Professional		$2,787.22	$2,787.22	$2,787.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,684.30 / $3,716.92 / $3,716.92	Professional		$2,684.30	$3,716.92	$3,716.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $701.04 / $2,021.04 / $2,978.89	Professional		$701.04	$2,021.04	$2,978.89