Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.67 / $1,030.58 / $14,482.00	Facility		$538.67	$1,030.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $538.67 / $1,662.77	Professional		$504.00	$538.67	$1,662.77
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 $489.64 / $1,234.42 / $2,815.72	Professional		$489.64	$1,234.42	$2,815.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,296.71 / $1,515.31 / $2,444.14	Facility		$1,296.71	$1,515.31	$2,444.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.47 / $1,565.42 / $2,075.92	Professional		$682.47	$1,565.42	$2,075.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $538.67 / $717.21 / $3,906.49	Facility		$538.67	$717.21	$3,906.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $538.67 / $3,906.49 / $8,783.00	Facility		$538.67	$3,906.49	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $579.52 / $1,195.05 / $2,634.04	Professional		$579.52	$1,195.05	$2,634.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $423.52 / $1,077.26	Professional		$63.30	$423.52	$1,077.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $538.67 / $717.21 / $3,906.49	Facility		$538.67	$717.21	$3,906.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $980.85 / $1,514.58 / $1,784.09	Professional		$980.85	$1,514.58	$1,784.09
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 $697.60 / $2,715.00 / $7,500.00	Professional		$697.60	$2,715.00	$7,500.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,363.87 / $1,363.87 / $1,363.87	Professional		$1,363.87	$1,363.87	$1,363.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.91 / $2,423.60 / $2,423.60	Professional		$1,441.91	$2,423.60	$2,423.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.25 / $1,488.51 / $2,382.36	Professional		$565.25	$1,488.51	$2,382.36