Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.15 / $1,647.16 / $14,482.00	Facility		$878.15	$1,647.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.97 / $878.15 / $2,726.93	Professional		$713.97	$878.15	$2,726.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $772.01 / $2,133.39 / $4,459.08	Professional		$772.01	$2,133.39	$4,459.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,088.80 / $2,440.92 / $3,937.12	Facility		$2,088.80	$2,440.92	$3,937.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.92 / $2,388.41 / $3,311.46	Professional		$1,207.92	$2,388.41	$3,311.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $805.28 / $990.58 / $1,596.14	Facility		$805.28	$990.58	$1,596.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $878.15 / $2,257.50 / $7,700.00	Facility		$878.15	$2,257.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.00 / $1,959.73 / $3,849.21	Professional		$927.00	$1,959.73	$3,849.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $639.65 / $1,680.06	Professional		$85.00	$639.65	$1,680.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $805.28 / $990.58 / $1,596.14	Facility		$805.28	$990.58	$1,596.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,595.10 / $2,454.00 / $2,901.36	Professional		$1,595.10	$2,454.00	$2,901.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,688.78 / $6,688.78 / $6,688.78	Facility		$6,688.78	$6,688.78	$6,688.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,245.52 / $3,919.45 / $6,055.52	Professional		$1,245.52	$3,919.45	$6,055.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,005.06 / $2,005.06 / $2,005.06	Professional		$2,005.06	$2,005.06	$2,005.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,977.32 / $4,363.17 / $4,363.17	Professional		$1,977.32	$4,363.17	$4,363.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.86 / $2,344.52 / $3,435.40	Professional		$886.86	$2,344.52	$3,435.40