Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.58 / $1,661.42 / $14,482.00	Facility		$742.58	$1,661.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.58 / $828.93 / $3,138.24	Professional		$742.58	$828.93	$3,138.24
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 $776.64 / $1,807.76 / $4,573.52	Professional		$776.64	$1,807.76	$4,573.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,096.01 / $2,449.35 / $3,757.36	Facility		$2,096.01	$2,449.35	$3,757.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.54 / $3,117.97 / $3,543.15	Professional		$1,207.54	$3,117.97	$3,543.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $742.58 / $1,031.91 / $1,643.07	Facility		$742.58	$1,031.91	$1,643.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.58 / $1,153.29 / $13,250.00	Facility		$742.58	$1,153.29	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $874.44 / $1,553.14 / $6,025.28	Professional		$874.44	$1,553.14	$6,025.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $502.21 / $1,602.44	Professional		$61.84	$502.21	$1,602.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $742.58 / $1,003.20 / $1,643.07	Facility		$742.58	$1,003.20	$1,643.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,617.85 / $1,971.29 / $2,942.74	Professional		$1,617.85	$1,971.29	$2,942.74
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 $1,566.44 / $3,882.85 / $6,025.28	Professional		$1,566.44	$3,882.85	$6,025.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,790.98 / $2,790.98 / $2,790.98	Professional		$2,790.98	$2,790.98	$2,790.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.10 / $4,389.10 / $4,668.88	Professional		$1,421.10	$4,389.10	$4,668.88
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,733.00 / $16,374.85	Facility		$7,301.00	$11,733.00	$16,374.85
United Facility/Professional Professional Modifier Low / Median / High Price $864.77 / $1,498.26 / $3,494.57	Professional		$864.77	$1,498.26	$3,494.57