Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.06 / $2,755.07 / $14,482.00	Facility		$828.06	$2,755.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.27 / $828.06 / $1,992.61	Professional		$683.27	$828.06	$1,992.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $11,418.00	Facility		$1,979.00	$6,787.00	$11,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.12 / $1,686.19 / $4,348.84	Professional		$690.12	$1,686.19	$4,348.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,941.01 / $2,268.23 / $3,479.52	Facility		$1,941.01	$2,268.23	$3,479.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $866.38 / $2,410.17 / $3,086.83	Professional		$866.38	$2,410.17	$3,086.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $703.85 / $959.43 / $1,509.95	Facility		$703.85	$959.43	$1,509.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $722.19 / $1,008.86 / $4,377.80	Facility		$722.19	$1,008.86	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $752.59 / $1,636.87 / $5,666.96	Professional		$752.59	$1,636.87	$5,666.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $687.05 / $1,699.83	Professional		$65.00	$687.05	$1,699.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $703.85 / $959.43 / $1,509.95	Facility		$703.85	$959.43	$1,509.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,420.80 / $1,894.87 / $3,122.79	Professional		$1,420.80	$1,894.87	$3,122.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $889.21 / $7,241.84 / $7,241.84	Facility		$889.21	$7,241.84	$7,241.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,202.95 / $3,420.85 / $5,666.96	Professional		$1,202.95	$3,420.85	$5,666.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,515.69 / $2,515.69 / $2,515.69	Professional		$2,515.69	$2,515.69	$2,515.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,471.69 / $3,768.98 / $3,768.98	Professional		$2,471.69	$3,768.98	$3,768.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.62 / $1,498.33 / $3,121.81	Professional		$741.62	$1,498.33	$3,121.81