Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.60 / $1,935.11 / $14,482.00	Facility		$951.60	$1,935.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.31 / $972.04 / $3,146.68	Professional		$893.31	$972.04	$3,146.68
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 $928.17 / $2,411.17 / $6,429.54	Professional		$928.17	$2,411.17	$6,429.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,428.52 / $2,837.92 / $4,577.46	Facility		$2,428.52	$2,837.92	$4,577.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,845.66 / $2,938.35 / $3,886.99	Professional		$1,845.66	$2,938.35	$3,886.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $946.06 / $1,252.35 / $1,888.26	Facility		$946.06	$1,252.35	$1,888.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $951.60 / $1,915.72 / $7,700.00	Facility		$951.60	$1,915.72	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.80 / $2,535.71 / $6,355.86	Professional		$1,096.80	$2,535.71	$6,355.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $620.64 / $1,964.20	Professional		$62.69	$620.64	$1,964.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $951.44 / $1,265.78 / $1,888.26	Facility		$951.44	$1,265.78	$1,888.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,844.05 / $2,847.50 / $3,827.89	Professional		$1,844.05	$2,847.50	$3,827.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,706.23 / $7,706.23 / $7,706.23	Facility		$7,706.23	$7,706.23	$7,706.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,954.65 / $7,031.68 / $7,031.68	Professional		$3,954.65	$7,031.68	$7,031.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,816.43 / $4,816.43 / $4,816.43	Professional		$4,816.43	$4,816.43	$4,816.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,493.33 / $5,556.12 / $5,556.12	Professional		$4,493.33	$5,556.12	$5,556.12
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 $1,012.64 / $2,707.09 / $4,535.83	Professional		$1,012.64	$2,707.09	$4,535.83