Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.48 / $1,196.98 / $14,482.00	Facility		$587.48	$1,196.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.96 / $597.36 / $1,931.58	Professional		$552.96	$597.36	$1,931.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.28 / $1,511.55 / $3,962.77	Professional		$569.28	$1,511.55	$3,962.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,506.67 / $1,760.67 / $2,839.89	Facility		$1,506.67	$1,760.67	$2,839.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.67 / $1,817.02 / $2,410.92	Professional		$792.67	$1,817.02	$2,410.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $585.19 / $776.35 / $1,170.95	Facility		$585.19	$776.35	$1,170.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.48 / $4,103.00 / $8,783.00	Facility		$587.48	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $663.10 / $1,554.19 / $3,893.46	Professional		$663.10	$1,554.19	$3,893.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $485.00 / $1,224.36	Professional		$63.30	$485.00	$1,224.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $585.65 / $796.99 / $1,170.95	Facility		$585.65	$796.99	$1,170.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,139.45 / $1,759.49 / $2,344.89	Professional		$1,139.45	$1,759.49	$2,344.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,388.90 / $9,388.90 / $9,388.90	Facility		$9,388.90	$9,388.90	$9,388.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $809.72 / $2,986.50 / $9,677.00	Professional		$809.72	$2,986.50	$9,677.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,968.54 / $2,968.54 / $2,968.54	Professional		$2,968.54	$2,968.54	$2,968.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,758.21 / $3,435.79 / $3,435.79	Professional		$2,758.21	$3,435.79	$3,435.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $656.63 / $1,659.68 / $2,800.20	Professional		$656.63	$1,659.68	$2,800.20