Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.64 / $1,813.05 / $14,482.00	Facility		$814.64	$1,813.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.64 / $927.95 / $3,424.65	Professional		$814.64	$927.95	$3,424.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $19,822.18	Facility		$6,538.00	$10,800.00	$19,822.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.63 / $1,995.04 / $5,078.70	Professional		$858.63	$1,995.04	$5,078.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,272.62 / $2,655.74 / $4,073.98	Facility		$2,272.62	$2,655.74	$4,073.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.12 / $3,409.98 / $3,874.98	Professional		$1,341.12	$3,409.98	$3,874.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $814.64 / $1,197.74 / $1,995.94	Facility		$814.64	$1,197.74	$1,995.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $814.64 / $1,466.35 / $5,887.00	Facility		$814.64	$1,466.35	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $967.92 / $1,727.34 / $9,880.20	Professional		$967.92	$1,727.34	$9,880.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $716.99 / $1,894.35	Professional		$85.26	$716.99	$1,894.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $814.64 / $1,197.74 / $1,995.94	Facility		$814.64	$1,197.74	$1,995.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,810.90 / $2,206.51 / $3,293.89	Professional		$1,810.90	$2,206.51	$3,293.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,516.71 / $8,516.71 / $8,516.71	Facility		$8,516.71	$8,516.71	$8,516.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,713.16 / $4,318.35 / $9,880.20	Professional		$1,713.16	$4,318.35	$9,880.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,099.26 / $3,099.26 / $3,099.26	Professional		$3,099.26	$3,099.26	$3,099.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,734.16 / $4,899.32 / $5,106.14	Professional		$2,734.16	$4,899.32	$5,106.14
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 $950.04 / $1,657.47 / $3,886.52	Professional		$950.04	$1,657.47	$3,886.52