Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.44 / $1,365.86 / $14,482.00	Facility		$721.44	$1,365.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $721.44 / $2,176.46	Professional		$577.04	$721.44	$2,176.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,695.00 / $15,579.70	Facility		$5,479.00	$9,695.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.70 / $1,728.01 / $3,562.58	Professional		$638.70	$1,728.01	$3,562.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,730.15 / $2,021.82 / $3,261.12	Facility		$1,730.15	$2,021.82	$3,261.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.64 / $1,969.23 / $2,758.83	Professional		$1,001.64	$1,969.23	$2,758.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $667.76 / $809.43 / $1,326.76	Facility		$667.76	$809.43	$1,326.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $721.44 / $1,575.00 / $8,384.00	Facility		$721.44	$1,575.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $739.87 / $1,600.33 / $3,162.30	Professional		$739.87	$1,600.33	$3,162.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $532.90 / $1,380.49	Professional		$63.30	$532.90	$1,380.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $667.76 / $809.43 / $1,326.76	Facility		$667.76	$809.43	$1,326.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,304.55 / $2,014.43 / $2,372.88	Professional		$1,304.55	$2,014.43	$2,372.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,685.16 / $4,685.16 / $4,685.16	Facility		$4,685.16	$4,685.16	$4,685.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,026.93 / $3,200.65 / $5,443.68	Professional		$1,026.93	$3,200.65	$5,443.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,640.76 / $1,640.76 / $1,640.76	Professional		$1,640.76	$1,640.76	$1,640.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.78 / $3,597.46 / $3,597.46	Professional		$1,666.78	$3,597.46	$3,597.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.39 / $1,941.58 / $2,972.64	Professional		$700.39	$1,941.58	$2,972.64