Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.60 / $1,071.22 / $14,482.00	Facility		$528.60	$1,071.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.83 / $543.04 / $1,767.05	Professional		$494.83	$543.04	$1,767.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $1,307.64 / $3,580.00	Professional		$522.08	$1,307.64	$3,580.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,338.16 / $1,563.75 / $2,522.27	Facility		$1,338.16	$1,563.75	$2,522.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $1,626.44 / $2,141.78	Professional		$709.38	$1,626.44	$2,141.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $476.10 / $618.46 / $1,040.51	Facility		$476.10	$618.46	$1,040.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.71 / $1,706.67 / $4,514.00	Facility		$523.71	$1,706.67	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $619.48 / $1,423.65 / $3,578.89	Professional		$619.48	$1,423.65	$3,578.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $714.45 / $1,187.03	Professional		$85.00	$714.45	$1,187.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $476.10 / $618.46 / $1,040.51	Facility		$476.10	$618.46	$1,040.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,023.10 / $1,579.82 / $2,155.42	Professional		$1,023.10	$1,579.82	$2,155.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,882.00 / $4,882.00 / $4,882.00	Facility		$4,882.00	$4,882.00	$4,882.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $724.80 / $2,588.44 / $3,905.52	Professional		$724.80	$2,588.44	$3,905.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,681.81 / $2,681.81 / $2,681.81	Professional		$2,681.81	$2,681.81	$2,681.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,523.27 / $3,075.42 / $3,075.42	Professional		$2,523.27	$3,075.42	$3,075.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.70 / $1,522.07 / $2,497.17	Professional		$600.70	$1,522.07	$2,497.17