Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.66 / $1,534.39 / $14,482.00	Facility		$803.66	$1,534.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.81 / $803.66 / $3,003.55	Professional		$756.81	$803.66	$3,003.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.31 / $1,955.90 / $4,231.31	Professional		$736.31	$1,955.90	$4,231.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,928.40 / $2,253.48 / $3,634.79	Facility		$1,928.40	$2,253.48	$3,634.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.11 / $2,330.19 / $3,085.25	Professional		$1,016.11	$2,330.19	$3,085.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $750.15 / $1,030.83 / $1,470.00	Facility		$750.15	$1,030.83	$1,470.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $803.66 / $5,266.00 / $14,978.00	Facility		$803.66	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $871.52 / $1,796.32 / $3,962.74	Professional		$871.52	$1,796.32	$3,962.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $616.64 / $1,604.05	Professional		$63.30	$616.64	$1,604.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $803.66 / $1,030.83 / $1,470.00	Facility		$803.66	$1,030.83	$1,470.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,461.20 / $2,256.32 / $2,657.81	Professional		$1,461.20	$2,256.32	$2,657.81
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 $1,038.41 / $3,655.40 / $5,588.00	Professional		$1,038.41	$3,655.40	$5,588.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,038.38 / $2,038.38 / $2,038.38	Professional		$2,038.38	$2,038.38	$2,038.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,146.78 / $3,607.59 / $3,607.59	Professional		$2,146.78	$3,607.59	$3,607.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.61 / $2,141.90 / $3,475.70	Professional		$752.61	$2,141.90	$3,475.70