Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.37 / $1,489.64 / $14,482.00	Facility		$671.37	$1,489.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.44 / $671.37 / $1,042.51	Professional		$640.44	$671.37	$1,042.51
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 $669.49 / $1,840.18 / $5,307.61	Professional		$669.49	$1,840.18	$5,307.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,880.64 / $2,197.67 / $3,544.77	Facility		$1,880.64	$2,197.67	$3,544.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.13 / $2,808.08 / $3,191.00	Professional		$1,324.13	$2,808.08	$3,191.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $671.37 / $794.47 / $1,423.43	Facility		$671.37	$794.47	$1,423.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $728.27 / $9,630.90 / $16,779.00	Facility		$728.27	$9,630.90	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $773.47 / $2,163.77 / $4,543.77	Professional		$773.47	$2,163.77	$4,543.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $414.42 / $1,201.70	Professional		$58.85	$414.42	$1,201.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $671.37 / $794.47 / $1,423.43	Facility		$671.37	$794.47	$1,423.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $944.70 / $1,733.78 / $2,598.69	Professional		$944.70	$1,733.78	$2,598.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,524.30 / $17,524.30 / $17,524.30	Facility		$17,524.30	$17,524.30	$17,524.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,410.76 / $3,052.13 / $5,421.36	Professional		$1,410.76	$3,052.13	$5,421.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,361.48 / $2,361.48 / $2,361.48	Professional		$2,361.48	$2,361.48	$2,361.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,204.84 / $4,204.84 / $4,204.84	Professional		$4,204.84	$4,204.84	$4,204.84
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 $710.98 / $2,049.57 / $3,399.18	Professional		$710.98	$2,049.57	$3,399.18