Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.89 / $1,334.68 / $14,482.00	Facility		$655.89	$1,334.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $617.17 / $670.36 / $2,190.40	Professional		$617.17	$670.36	$2,190.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.78 / $1,713.58 / $4,430.12	Professional		$637.78	$1,713.58	$4,430.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,678.79 / $1,961.79 / $3,164.31	Facility		$1,678.79	$1,961.79	$3,164.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.86 / $2,026.17 / $2,688.68	Professional		$883.86	$2,026.17	$2,688.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $593.19 / $767.39 / $1,305.58	Facility		$593.19	$767.39	$1,305.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.51 / $4,103.00 / $8,384.00	Facility		$652.51	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $753.15 / $1,741.63 / $4,366.18	Professional		$753.15	$1,741.63	$4,366.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $521.00 / $1,356.44	Professional		$63.30	$521.00	$1,356.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $652.51 / $865.84 / $1,312.41	Facility		$652.51	$865.84	$1,312.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,270.75 / $1,962.23 / $2,629.59	Professional		$1,270.75	$1,962.23	$2,629.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,444.45 / $5,444.45 / $5,444.45	Facility		$5,444.45	$5,444.45	$5,444.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $902.93 / $3,166.60 / $4,839.68	Professional		$902.93	$3,166.60	$4,839.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,318.63 / $3,318.63 / $3,318.63	Professional		$3,318.63	$3,318.63	$3,318.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,127.80 / $3,831.25 / $3,831.25	Professional		$3,127.80	$3,831.25	$3,831.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $744.61 / $1,936.87 / $3,160.58	Professional		$744.61	$1,936.87	$3,160.58