Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.72 / $1,835.44 / $14,482.00	Facility		$977.72	$1,835.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.30 / $977.72 / $3,124.09	Professional		$796.30	$977.72	$3,124.09
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 $863.71 / $2,359.33 / $4,852.91	Professional		$863.71	$2,359.33	$4,852.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,324.89 / $2,716.82 / $4,382.13	Facility		$2,324.89	$2,716.82	$4,382.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.99 / $2,659.88 / $3,687.98	Professional		$1,345.99	$2,659.88	$3,687.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $909.62 / $1,103.53 / $4,916.60	Facility		$909.62	$1,103.53	$4,916.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.72 / $4,240.00 / $11,598.00	Facility		$977.72	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,046.95 / $2,189.83 / $4,285.64	Professional		$1,046.95	$2,189.83	$4,285.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $720.22 / $1,882.81	Professional		$85.00	$720.22	$1,882.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $909.62 / $1,103.53 / $4,916.60	Facility		$909.62	$1,103.53	$4,916.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,779.05 / $2,737.00 / $3,235.96	Professional		$1,779.05	$2,737.00	$3,235.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,042.62 / $10,042.62 / $10,042.62	Facility		$10,042.62	$10,042.62	$10,042.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,387.09 / $4,379.64 / $7,322.65	Professional		$1,387.09	$4,379.64	$7,322.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,235.02 / $2,235.02 / $2,235.02	Professional		$2,235.02	$2,235.02	$2,235.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,217.69 / $4,859.10 / $4,859.10	Professional		$2,217.69	$4,859.10	$4,859.10
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 $1,046.95 / $2,320.53 / $3,838.76	Professional		$1,046.95	$2,320.53	$3,838.76