Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.89 / $2,306.51 / $14,482.00	Facility		$691.89	$2,306.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.44 / $691.89 / $1,067.29	Professional		$604.44	$691.89	$1,067.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $18,175.43 / $23,937.00	Facility		$12,080.00	$18,175.43	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.74 / $1,419.27 / $3,646.75	Professional		$608.74	$1,419.27	$3,646.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,623.82 / $1,897.56 / $2,910.91	Facility		$1,623.82	$1,897.56	$2,910.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $819.55 / $2,154.73 / $2,582.23	Professional		$819.55	$2,154.73	$2,582.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $632.23 / $766.44 / $1,264.63	Facility		$632.23	$766.44	$1,264.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.89 / $889.74 / $14,246.00	Facility		$625.89	$889.74	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $683.54 / $1,339.54 / $4,738.72	Professional		$683.54	$1,339.54	$4,738.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $568.45 / $1,344.84	Professional		$65.00	$568.45	$1,344.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $625.89 / $768.15 / $1,314.27	Facility		$625.89	$768.15	$1,314.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,189.20 / $1,586.00 / $2,612.33	Professional		$1,189.20	$1,586.00	$2,612.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $742.94 / $39,805.15 / $39,805.15	Facility		$742.94	$39,805.15	$39,805.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $997.80 / $3,058.30 / $4,738.72	Professional		$997.80	$3,058.30	$4,738.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,299.44 / $2,299.44 / $2,299.44	Professional		$2,299.44	$2,299.44	$2,299.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,020.87 / $3,152.93 / $3,152.93	Professional		$2,020.87	$3,152.93	$3,152.93
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,903.00	Facility		$8,627.00	$12,373.00	$15,903.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.81 / $1,235.38 / $3,168.83	Professional		$661.81	$1,235.38	$3,168.83