Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $880.41 / $1,789.36 / $14,482.00	Facility		$880.41	$1,789.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.83 / $898.77 / $2,908.79	Professional		$826.83	$898.77	$2,908.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.78 / $2,276.59 / $5,943.07	Professional		$857.78	$2,276.59	$5,943.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,246.48 / $2,625.20 / $4,234.35	Facility		$2,246.48	$2,625.20	$4,234.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,184.96 / $2,717.24 / $3,596.36	Professional		$1,184.96	$2,717.24	$3,596.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $874.80 / $1,159.66 / $1,746.75	Facility		$874.80	$1,159.66	$1,746.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $880.41 / $4,240.00 / $12,631.00	Facility		$880.41	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,012.39 / $2,342.59 / $5,874.12	Professional		$1,012.39	$2,342.59	$5,874.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $737.50 / $1,905.22	Professional		$63.30	$737.50	$1,905.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $880.20 / $1,159.66 / $1,746.75	Facility		$880.20	$1,159.66	$1,746.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,704.95 / $2,632.71 / $3,537.77	Professional		$1,704.95	$2,632.71	$3,537.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,210.89 / $4,259.25 / $6,500.16	Professional		$1,210.89	$4,259.25	$6,500.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,451.99 / $4,451.99 / $4,451.99	Professional		$4,451.99	$4,451.99	$4,451.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,153.64 / $5,137.97 / $5,137.97	Professional		$4,153.64	$5,137.97	$5,137.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.39 / $2,826.39 / $4,196.49	Professional		$1,012.39	$2,826.39	$4,196.49