Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.74 / $1,082.83 / $14,482.00	Facility		$565.74	$1,082.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.41 / $565.74 / $1,741.42	Professional		$534.41	$565.74	$1,741.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,594.00 / $6,049.00	Facility		$1,183.00	$3,594.00	$6,049.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.04 / $1,308.15 / $3,062.34	Professional		$513.04	$1,308.15	$3,062.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,365.20 / $1,595.34 / $2,573.23	Facility		$1,365.20	$1,595.34	$2,573.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.08 / $1,645.34 / $2,184.73	Professional		$717.08	$1,645.34	$2,184.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $529.39 / $718.26 / $1,053.39	Facility		$529.39	$718.26	$1,053.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.71 / $1,256.00 / $4,514.00	Facility		$537.71	$1,256.00	$4,514.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.98 / $1,250.55 / $2,755.02	Professional		$591.98	$1,250.55	$2,755.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $434.25 / $1,124.17	Professional		$63.30	$434.25	$1,124.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $565.74 / $755.56 / $1,053.39	Facility		$565.74	$755.56	$1,053.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,029.59 / $1,589.86 / $1,872.76	Professional		$1,029.59	$1,589.86	$1,872.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,311.16 / $4,311.16 / $4,311.16	Facility		$4,311.16	$4,311.16	$4,311.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $733.21 / $2,548.15 / $3,925.84	Professional		$733.21	$2,548.15	$3,925.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.29 / $1,431.29 / $1,431.29	Professional		$1,431.29	$1,431.29	$1,431.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,515.01 / $2,547.26 / $2,547.26	Professional		$1,515.01	$2,547.26	$2,547.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.27 / $1,495.72 / $2,416.42	Professional		$557.27	$1,495.72	$2,416.42