Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.24 / $2,120.42 / $14,482.00	Facility		$950.24	$2,120.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $950.24 / $1,084.40 / $3,779.06	Professional		$950.24	$1,084.40	$3,779.06
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 $998.71 / $2,327.12 / $5,859.03	Professional		$998.71	$2,327.12	$5,859.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,671.82 / $3,122.23 / $4,789.59	Facility		$2,671.82	$3,122.23	$4,789.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.95 / $3,981.08 / $4,523.95	Professional		$1,549.95	$3,981.08	$4,523.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $950.24 / $1,398.19 / $2,120.42	Facility		$950.24	$1,398.19	$2,120.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $950.24 / $1,509.31 / $13,250.00	Facility		$950.24	$1,509.31	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,146.18 / $2,004.80 / $7,708.72	Professional		$1,146.18	$2,004.80	$7,708.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $644.91 / $2,111.66	Professional		$83.50	$644.91	$2,111.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $950.24 / $1,398.19 / $2,120.42	Facility		$950.24	$1,398.19	$2,120.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,068.94 / $2,520.94 / $3,763.26	Professional		$2,068.94	$2,520.94	$3,763.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,428.28 / $9,428.28 / $26,026.20	Facility		$9,428.28	$9,428.28	$26,026.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,000.07 / $4,994.85 / $7,708.72	Professional		$2,000.07	$4,994.85	$7,708.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,575.45 / $3,575.45 / $3,575.45	Professional		$3,575.45	$3,575.45	$3,575.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,314.05 / $5,831.30 / $5,961.31	Professional		$3,314.05	$5,831.30	$5,961.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.04 / $1,997.94 / $4,525.33	Professional		$1,096.04	$1,997.94	$4,525.33