Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.77 / $1,894.00 / $13,699.60	Facility		$361.77	$1,894.00	$13,699.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.77 / $1,108.85 / $3,740.57	Professional		$361.77	$1,108.85	$3,740.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.37 / $885.98 / $2,162.04	Professional		$450.37	$885.98	$2,162.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,538.60 / $12,315.19 / $18,891.81	Facility		$10,538.60	$12,315.19	$18,891.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.35 / $1,850.56 / $17,184.29	Professional		$613.35	$1,850.56	$17,184.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $211.20 / $651.19 / $4,099.64	Facility		$211.20	$651.19	$4,099.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $2,021.65 / $12,741.00	Facility		$270.00	$2,021.65	$12,741.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $3,540.19 / $28,324.16	Professional		$262.58	$3,540.19	$28,324.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $309.31 / $2,861.60 / $7,599.16	Professional		$309.31	$2,861.60	$7,599.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $220.35 / $651.19 / $4,099.64	Facility		$220.35	$651.19	$4,099.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,051.76 / $4,018.93 / $12,086.95	Professional		$1,051.76	$4,018.93	$12,086.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,896.58 / $6,896.58 / $18,678.64	Facility		$6,896.58	$6,896.58	$18,678.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $899.96 / $14,539.01 / $28,324.16	Professional		$899.96	$14,539.01	$28,324.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,322.92 / $1,322.92 / $9,170.23	Professional		$1,322.92	$1,322.92	$9,170.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $618.04 / $2,438.52 / $22,644.08	Professional		$618.04	$2,438.52	$22,644.08
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $3,416.37 / $8,590.75	Professional		$267.89	$3,416.37	$8,590.75