Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.91 / $1,154.85 / $14,482.00	Facility		$615.91	$1,154.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.30 / $615.91 / $1,607.44	Professional		$487.30	$615.91	$1,607.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.42 / $1,257.98 / $3,250.99	Professional		$526.42	$1,257.98	$3,250.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,456.21 / $1,701.70 / $2,610.44	Facility		$1,456.21	$1,701.70	$2,610.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.95 / $1,876.15 / $2,295.44	Professional		$613.95	$1,876.15	$2,295.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $527.73 / $676.15 / $1,120.82	Facility		$527.73	$676.15	$1,120.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $533.66 / $763.88 / $4,602.00	Facility		$533.66	$763.88	$4,602.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $542.04 / $1,230.98 / $4,178.39	Professional		$542.04	$1,230.98	$4,178.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $511.07 / $1,253.47	Professional		$65.50	$511.07	$1,253.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $527.73 / $682.70 / $1,128.51	Facility		$527.73	$682.70	$1,128.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,049.40 / $1,399.55 / $2,322.19	Professional		$1,049.40	$1,399.55	$2,322.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $4,005.36 / $4,005.36	Facility		$650.60	$4,005.36	$4,005.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $910.14 / $2,662.85 / $4,178.39	Professional		$910.14	$2,662.85	$4,178.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.91 / $2,049.91 / $2,049.91	Professional		$2,049.91	$2,049.91	$2,049.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,741.09 / $2,802.73 / $2,802.73	Professional		$1,741.09	$2,802.73	$2,802.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.91 / $1,151.08 / $2,431.17	Professional		$520.91	$1,151.08	$2,431.17