Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.22 / $1,547.98 / $14,482.00	Facility		$811.22	$1,547.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.27 / $811.22 / $3,000.88	Professional		$764.27	$811.22	$3,000.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,838.00 / $18,458.00	Facility		$7,084.00	$11,838.00	$18,458.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.79 / $1,912.16 / $4,444.80	Professional		$744.79	$1,912.16	$4,444.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,941.91 / $2,269.28 / $3,660.27	Facility		$1,941.91	$2,269.28	$3,660.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.09 / $2,350.17 / $3,108.16	Professional		$1,025.09	$2,350.17	$3,108.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $756.79 / $1,011.24 / $1,501.50	Facility		$756.79	$1,011.24	$1,501.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $811.22 / $6,154.00 / $16,779.00	Facility		$811.22	$6,154.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $882.52 / $1,817.03 / $4,008.11	Professional		$882.52	$1,817.03	$4,008.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $626.26 / $1,635.37	Professional		$63.30	$626.26	$1,635.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $756.79 / $1,011.24 / $1,501.50	Facility		$756.79	$1,011.24	$1,501.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,475.50 / $2,278.40 / $2,683.82	Professional		$1,475.50	$2,278.40	$2,683.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,047.33 / $3,697.95 / $5,625.28	Professional		$1,047.33	$3,697.95	$5,625.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,058.56 / $2,058.56 / $2,058.56	Professional		$2,058.56	$2,058.56	$2,058.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,165.79 / $3,638.58 / $3,638.58	Professional		$2,165.79	$3,638.58	$3,638.58
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $12,373.00 / $15,090.00	Facility		$7,984.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.53 / $2,151.69 / $3,515.50	Professional		$812.53	$2,151.69	$3,515.50