Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.92 / $6,461.00 / $17,823.00	Facility		$621.92	$6,461.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $603.75 / $751.99	Professional		$412.89	$603.75	$751.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,290.00 / $18,458.00	Facility		$7,084.00	$11,290.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.79 / $1,262.79 / $3,268.03	Professional		$529.79	$1,262.79	$3,268.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,771.19 / $4,406.93 / $6,760.34	Facility		$3,771.19	$4,406.93	$6,760.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $5,062.95 / $6,060.95	Professional		$848.41	$5,062.95	$6,060.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $533.41 / $764.73 / $2,480.17	Facility		$533.41	$764.73	$2,480.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $548.73 / $1,203.93 / $13,120.00	Facility		$548.73	$1,203.93	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $509.27 / $2,644.46 / $5,998.96	Professional		$509.27	$2,644.46	$5,998.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $3,938.88	Professional		$50.00	$70.00	$3,938.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $533.41 / $765.41 / $2,658.45	Facility		$533.41	$765.41	$2,658.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $842.84 / $1,546.84 / $2,226.91	Professional		$842.84	$1,546.84	$2,226.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $649.17 / $13,486.75 / $13,486.75	Facility		$649.17	$13,486.75	$13,486.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,054.68 / $3,936.75 / $4,219.60	Professional		$1,054.68	$3,936.75	$4,219.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,292.25 / $5,292.25 / $5,292.25	Professional		$5,292.25	$5,292.25	$5,292.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,523.22 / $7,523.22 / $7,523.22	Professional		$7,523.22	$7,523.22	$7,523.22
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.78 / $2,472.73 / $6,077.69	Professional		$496.78	$2,472.73	$6,077.69