Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.73 / $1,145.57 / $14,482.00	Facility		$610.73	$1,145.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.86 / $610.73 / $2,000.79	Professional		$494.86	$610.73	$2,000.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.07 / $1,461.99 / $3,026.09	Professional		$531.07	$1,461.99	$3,026.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,459.81 / $1,705.91 / $2,751.57	Facility		$1,459.81	$1,705.91	$2,751.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.08 / $1,663.24 / $2,312.15	Professional		$840.08	$1,663.24	$2,312.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $560.04 / $686.94 / $1,334.50	Facility		$560.04	$686.94	$1,334.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $610.73 / $4,240.00 / $12,622.22	Facility		$610.73	$4,240.00	$12,622.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $605.10 / $1,332.35 / $2,677.02	Professional		$605.10	$1,332.35	$2,677.02
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 $564.54 / $686.94 / $1,334.50	Facility		$564.54	$686.94	$1,334.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,105.65 / $1,665.62 / $2,011.09	Professional		$1,105.65	$1,665.62	$2,011.09
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 $867.35 / $2,664.70 / $5,263.72	Professional		$867.35	$2,664.70	$5,263.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.68 / $1,393.68 / $1,393.68	Professional		$1,393.68	$1,393.68	$1,393.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,372.87 / $3,038.42 / $3,038.42	Professional		$1,372.87	$3,038.42	$3,038.42
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 $572.02 / $1,800.00 / $2,335.61	Professional		$572.02	$1,800.00	$2,335.61