Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $975.99 / $2,178.27 / $14,482.00	Facility		$975.99	$2,178.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.99 / $1,121.43 / $4,631.00	Professional		$975.99	$1,121.43	$4,631.00
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 $1,029.47 / $2,390.17 / $6,021.60	Professional		$1,029.47	$2,390.17	$6,021.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,743.01 / $3,205.42 / $4,917.20	Facility		$2,743.01	$3,205.42	$4,917.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.48 / $4,088.84 / $4,646.41	Professional		$1,620.48	$4,088.84	$4,646.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $975.99 / $1,441.26 / $2,192.61	Facility		$975.99	$1,441.26	$2,192.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $975.99 / $1,580.29 / $13,250.00	Facility		$975.99	$1,580.29	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,179.50 / $2,101.86 / $7,918.64	Professional		$1,179.50	$2,101.86	$7,918.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $659.48 / $2,111.66	Professional		$83.50	$659.48	$2,111.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $975.99 / $1,441.26 / $2,192.61	Facility		$975.99	$1,441.26	$2,192.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,126.15 / $2,590.63 / $3,867.30	Professional		$2,126.15	$2,590.63	$3,867.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,046.36 / $8,046.36 / $22,211.50	Facility		$8,046.36	$8,046.36	$22,211.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,054.19 / $5,134.85 / $7,918.64	Professional		$2,054.19	$5,134.85	$7,918.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,674.63 / $3,674.63 / $3,674.63	Professional		$3,674.63	$3,674.63	$3,674.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,492.93 / $5,806.48 / $6,122.66	Professional		$3,492.93	$5,806.48	$6,122.66
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $14,978.00	Facility		$7,217.00	$11,733.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,127.44 / $1,980.78 / $4,621.37	Professional		$1,127.44	$1,980.78	$4,621.37