Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.21 / $1,492.16 / $14,482.00	Facility		$446.21	$1,492.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.68 / $446.21 / $1,416.26	Professional		$345.68	$446.21	$1,416.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,139.00 / $10,914.00	Facility		$5,169.00	$8,139.00	$10,914.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.51 / $915.30 / $2,352.17	Professional		$383.51	$915.30	$2,352.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,055.21 / $1,233.09 / $1,891.60	Facility		$1,055.21	$1,233.09	$1,891.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.72 / $1,371.29 / $1,669.59	Professional		$459.72	$1,371.29	$1,669.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $400.32 / $522.07 / $1,092.00	Facility		$400.32	$522.07	$1,092.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $399.62 / $599.28 / $10,568.00	Facility		$399.62	$599.28	$10,568.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.60 / $921.22 / $7,231.97	Professional		$416.60	$921.22	$7,231.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $322.45 / $848.85	Professional		$57.10	$322.45	$848.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $400.32 / $522.07 / $1,092.00	Facility		$400.32	$522.07	$1,092.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $763.20 / $1,017.85 / $1,689.04	Professional		$763.20	$1,017.85	$1,689.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $473.66 / $17,986.75 / $17,986.75	Facility		$473.66	$17,986.75	$17,986.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $658.58 / $1,946.30 / $7,231.97	Professional		$658.58	$1,946.30	$7,231.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,477.66 / $1,477.66 / $1,477.66	Professional		$1,477.66	$1,477.66	$1,477.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.28 / $2,038.55 / $2,038.55	Professional		$1,379.28	$2,038.55	$2,038.55
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,953.00 / $12,062.00	Facility		$6,241.00	$9,953.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $408.10 / $786.89 / $1,756.54	Professional		$408.10	$786.89	$1,756.54