Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.20 / $1,440.77 / $14,482.00	Facility		$707.20	$1,440.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.14 / $720.27 / $2,328.98	Professional		$665.14	$720.27	$2,328.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.88 / $1,822.52 / $4,936.60	Professional		$708.88	$1,822.52	$4,936.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,811.25 / $2,116.59 / $3,413.99	Facility		$1,811.25	$2,116.59	$3,413.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.10 / $2,186.98 / $2,900.57	Professional		$954.10	$2,186.98	$2,900.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $705.38 / $992.43 / $2,848.75	Facility		$705.38	$992.43	$2,848.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.20 / $2,429.00 / $7,700.00	Facility		$707.20	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $805.90 / $1,943.62 / $4,699.56	Professional		$805.90	$1,943.62	$4,699.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $573.66 / $1,447.84	Professional		$63.30	$573.66	$1,447.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $705.38 / $992.43 / $2,848.75	Facility		$705.38	$992.43	$2,848.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,371.50 / $2,117.81 / $2,830.38	Professional		$1,371.50	$2,117.81	$2,830.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,732.86 / $5,732.86 / $5,732.86	Facility		$5,732.86	$5,732.86	$5,732.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $974.59 / $3,533.85 / $5,648.44	Professional		$974.59	$3,533.85	$5,648.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,698.02 / $3,698.02 / $3,698.02	Professional		$3,698.02	$3,698.02	$3,698.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,491.35 / $4,135.32 / $4,135.32	Professional		$2,491.35	$4,135.32	$4,135.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.63 / $1,943.62 / $3,370.83	Professional		$767.63	$1,943.62	$3,370.83