Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.42 / $1,147.85 / $14,482.00	Facility		$603.42	$1,147.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.64 / $603.42 / $1,749.22	Professional		$489.64	$603.42	$1,749.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,082.00 / $15,579.70	Facility		$6,538.00	$10,082.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.72 / $1,451.27 / $2,994.65	Professional		$524.72	$1,451.27	$2,994.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,455.31 / $1,700.64 / $2,743.08	Facility		$1,455.31	$1,700.64	$2,743.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.77 / $1,656.13 / $2,319.31	Professional		$841.77	$1,656.13	$2,319.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $561.17 / $640.50 / $1,096.83	Facility		$561.17	$640.50	$1,096.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.42 / $2,041.31 / $11,598.00	Facility		$603.42	$2,041.31	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $601.25 / $1,325.85 / $2,645.01	Professional		$601.25	$1,325.85	$2,645.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $455.74 / $1,208.62	Professional		$63.30	$455.74	$1,208.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $561.17 / $640.50 / $1,096.83	Facility		$561.17	$640.50	$1,096.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,090.70 / $1,662.23 / $1,983.90	Professional		$1,090.70	$1,662.23	$1,983.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,273.60 / $3,273.60 / $3,273.60	Facility		$3,273.60	$3,273.60	$3,273.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $863.65 / $2,651.70 / $7,983.09	Professional		$863.65	$2,651.70	$7,983.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.18 / $1,379.18 / $1,379.18	Professional		$1,379.18	$1,379.18	$1,379.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,362.26 / $3,025.43 / $3,025.43	Professional		$1,362.26	$3,025.43	$3,025.43
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.42 / $1,426.50 / $2,324.21	Professional		$579.42	$1,426.50	$2,324.21