Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.11 / $1,834.09 / $14,482.00	Facility		$839.11	$1,834.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.11 / $917.13 / $3,124.97	Professional		$839.11	$917.13	$3,124.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $19,370.00	Facility		$7,084.00	$12,066.00	$19,370.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.00 / $2,434.36 / $5,082.31	Professional		$884.00	$2,434.36	$5,082.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,287.04 / $2,672.59 / $4,310.79	Facility		$2,287.04	$2,672.59	$4,310.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.78 / $2,747.38 / $3,673.67	Professional		$1,548.78	$2,747.38	$3,673.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $839.11 / $1,075.46 / $3,296.25	Facility		$839.11	$1,075.46	$3,296.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $844.16 / $2,429.00 / $7,700.00	Facility		$844.16	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,060.39 / $2,205.94 / $5,177.81	Professional		$1,060.39	$2,205.94	$5,177.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $810.09 / $2,089.25	Professional		$63.30	$810.09	$2,089.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $839.11 / $1,218.78 / $3,296.25	Facility		$839.11	$1,218.78	$3,296.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,829.75 / $2,815.00 / $3,911.07	Professional		$1,829.75	$2,815.00	$3,911.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,574.16 / $8,574.16 / $8,574.16	Facility		$8,574.16	$8,574.16	$8,574.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,577.10 / $4,411.00 / $12,818.24	Professional		$1,577.10	$4,411.00	$12,818.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,649.89 / $4,649.89 / $4,649.89	Professional		$4,649.89	$4,649.89	$4,649.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,164.60 / $6,156.41 / $6,156.41	Professional		$4,164.60	$6,156.41	$6,156.41
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 $1,060.39 / $2,684.62 / $3,866.24	Professional		$1,060.39	$2,684.62	$3,866.24