Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $780.55 / $2,597.56 / $14,482.00	Facility		$780.55	$2,597.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.48 / $780.55 / $1,457.48	Professional		$663.48	$780.55	$1,457.48
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 $685.83 / $1,601.13 / $4,120.09	Professional		$685.83	$1,601.13	$4,120.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,829.27 / $2,137.65 / $3,279.21	Facility		$1,829.27	$2,137.65	$3,279.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.63 / $2,428.44 / $2,909.43	Professional		$836.63	$2,428.44	$2,909.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $706.49 / $913.24 / $1,438.50	Facility		$706.49	$913.24	$1,438.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $706.49 / $989.10 / $9,558.29	Facility		$706.49	$989.10	$9,558.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $762.12 / $1,689.63 / $5,341.28	Professional		$762.12	$1,689.63	$5,341.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $657.69 / $1,581.69	Professional		$65.00	$657.69	$1,581.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $681.01 / $906.88 / $1,438.50	Facility		$681.01	$906.88	$1,438.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,339.80 / $1,786.85 / $2,943.32	Professional		$1,339.80	$1,786.85	$2,943.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $838.01 / $9,558.29 / $9,558.29	Facility		$838.01	$9,558.29	$9,558.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,239.29 / $3,446.75 / $5,341.28	Professional		$1,239.29	$3,446.75	$5,341.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,597.92 / $2,597.92 / $2,597.92	Professional		$2,597.92	$2,597.92	$2,597.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,311.23 / $3,552.44 / $3,552.44	Professional		$2,311.23	$3,552.44	$3,552.44
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 $705.20 / $1,371.26 / $3,110.69	Professional		$705.20	$1,371.26	$3,110.69