Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.37 / $1,659.96 / $14,482.00	Facility		$738.37	$1,659.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.37 / $836.28 / $3,135.48	Professional		$738.37	$836.28	$3,135.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.23 / $1,537.02 / $4,278.93	Professional		$761.23	$1,537.02	$4,278.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,095.10 / $2,448.29 / $3,755.75	Facility		$2,095.10	$2,448.29	$3,755.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,183.32 / $3,117.43 / $3,542.54	Professional		$1,183.32	$3,117.43	$3,542.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $738.37 / $1,065.72 / $1,659.96	Facility		$738.37	$1,065.72	$1,659.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $738.37 / $1,275.73 / $5,261.00	Facility		$738.37	$1,275.73	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $737.45 / $1,451.35 / $6,511.95	Professional		$737.45	$1,451.35	$6,511.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $531.66 / $1,727.65	Professional		$62.75	$531.66	$1,727.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $738.37 / $1,033.72 / $1,659.96	Facility		$738.37	$1,033.72	$1,659.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,700.40 / $2,071.87 / $3,092.90	Professional		$1,700.40	$2,071.87	$3,092.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $10,885.49	Facility		$1,900.50	$1,900.50	$10,885.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,566.18 / $3,779.95 / $6,511.95	Professional		$1,566.18	$3,779.95	$6,511.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,769.34 / $2,769.34 / $2,769.34	Professional		$2,769.34	$2,769.34	$2,769.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,061.83 / $3,761.60 / $4,668.06	Professional		$2,061.83	$3,761.60	$4,668.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.76 / $1,451.35 / $3,313.13	Professional		$737.76	$1,451.35	$3,313.13