Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.11 / $1,116.02 / $14,482.00	Facility		$594.11	$1,116.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.53 / $594.11 / $1,805.28	Professional		$482.53	$594.11	$1,805.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.29 / $1,412.27 / $2,944.27	Professional		$512.29	$1,412.27	$2,944.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,421.07 / $1,660.63 / $2,678.53	Facility		$1,421.07	$1,660.63	$2,678.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.41 / $1,619.42 / $2,252.02	Professional		$818.41	$1,619.42	$2,252.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $545.61 / $667.99 / $1,067.59	Facility		$545.61	$667.99	$1,067.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $594.11 / $4,103.00 / $8,783.00	Facility		$594.11	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $622.67 / $1,306.53 / $2,773.99	Professional		$622.67	$1,306.53	$2,773.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $426.49 / $1,132.08	Professional		$63.30	$426.49	$1,132.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $545.61 / $667.99 / $1,067.59	Facility		$545.61	$667.99	$1,067.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,078.34 / $1,628.38 / $1,961.44	Professional		$1,078.34	$1,628.38	$1,961.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $844.51 / $3,733.13 / $5,060.51	Professional		$844.51	$3,733.13	$5,060.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,356.00 / $1,356.00 / $1,356.00	Professional		$1,356.00	$1,356.00	$1,356.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,339.72 / $2,958.39 / $2,958.39	Professional		$1,339.72	$2,958.39	$2,958.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.13 / $1,465.00 / $2,290.34	Professional		$589.13	$1,465.00	$2,290.34