Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.33 / $1,980.99 / $14,482.00	Facility		$890.33	$1,980.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $890.33 / $972.39 / $3,607.20	Professional		$890.33	$972.39	$3,607.20
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 $939.39 / $2,180.40 / $5,547.32	Professional		$939.39	$2,180.40	$5,547.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,484.39 / $2,903.20 / $4,453.59	Facility		$2,484.39	$2,903.20	$4,453.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.41 / $3,725.37 / $4,233.38	Professional		$1,525.41	$3,725.37	$4,233.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $890.33 / $1,308.22 / $1,980.99	Facility		$890.33	$1,308.22	$1,980.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $899.34 / $1,472.17 / $13,250.00	Facility		$899.34	$1,472.17	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,130.80 / $1,988.98 / $7,371.96	Professional		$1,130.80	$1,988.98	$7,371.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $614.83 / $2,021.11	Professional		$86.48	$614.83	$2,021.11
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $890.33 / $1,246.46 / $1,980.99	Facility		$890.33	$1,246.46	$1,980.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,977.30 / $2,409.26 / $3,596.56	Professional		$1,977.30	$2,409.26	$3,596.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,348.38 / $6,348.38 / $17,524.30	Facility		$6,348.38	$6,348.38	$17,524.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,871.59 / $4,707.55 / $7,371.96	Professional		$1,871.59	$4,707.55	$7,371.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,385.24 / $3,385.24 / $3,385.24	Professional		$3,385.24	$3,385.24	$3,385.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.08 / $5,578.38 / $5,578.38	Professional		$3,240.08	$5,578.38	$5,578.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,107.27 / $1,928.41 / $4,192.16	Professional		$1,107.27	$1,928.41	$4,192.16