Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.13 / $1,520.80 / $14,482.00	Facility		$814.13	$1,520.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.72 / $814.13 / $2,174.71	Professional		$693.72	$814.13	$2,174.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.97 / $1,670.00 / $4,291.89	Professional		$697.97	$1,670.00	$4,291.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,908.57 / $2,230.32 / $3,421.36	Facility		$1,908.57	$2,230.32	$3,421.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.69 / $2,541.89 / $3,036.38	Professional		$891.69	$2,541.89	$3,036.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $721.78 / $918.38 / $1,517.63	Facility		$721.78	$918.38	$1,517.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $724.88 / $977.16 / $4,821.00	Facility		$724.88	$977.16	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $793.71 / $1,763.41 / $5,578.64	Professional		$793.71	$1,763.41	$5,578.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $671.77 / $1,650.09	Professional		$65.00	$671.77	$1,650.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $721.78 / $918.38 / $1,517.63	Facility		$721.78	$918.38	$1,517.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,399.20 / $1,866.07 / $3,071.75	Professional		$1,399.20	$1,866.07	$3,071.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $876.60 / $6,237.56 / $6,237.56	Facility		$876.60	$6,237.56	$6,237.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,297.88 / $3,607.75 / $5,578.64	Professional		$1,297.88	$3,607.75	$5,578.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,706.23 / $2,706.23 / $2,706.23	Professional		$2,706.23	$2,706.23	$2,706.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,456.92 / $3,707.39 / $3,707.39	Professional		$2,456.92	$3,707.39	$3,707.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.26 / $1,543.20 / $3,255.99	Professional		$776.26	$1,543.20	$3,255.99