Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.34 / $1,894.00 / $14,482.00	Facility		$909.34	$1,894.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.61 / $806.79 / $2,023.64	Professional		$453.61	$806.79	$2,023.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.47 / $1,168.32 / $2,936.38	Professional		$571.47	$1,168.32	$2,936.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,611.20 / $1,882.82 / $3,036.92	Facility		$1,611.20	$1,882.82	$3,036.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.91 / $1,463.55 / $2,947.25	Professional		$689.91	$1,463.55	$2,947.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $580.46 / $800.06 / $1,233.91	Facility		$580.46	$800.06	$1,233.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $4,103.00 / $8,384.00	Facility		$590.46	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $572.13 / $1,196.08 / $4,503.84	Professional		$572.13	$1,196.08	$4,503.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $319.34 / $975.83	Professional		$58.42	$319.34	$975.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $580.46 / $800.06 / $1,453.01	Facility		$580.46	$800.06	$1,453.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,072.80 / $1,416.10 / $2,113.94	Professional		$1,072.80	$1,416.10	$2,113.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,001.30 / $2,874.10 / $4,503.84	Professional		$1,001.30	$2,874.10	$4,503.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.00 / $3,671.94 / $5,882.70	Professional		$1,624.00	$3,671.94	$5,882.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,193.00 / $6,477.00 / $8,384.00	Facility		$3,193.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.77 / $1,086.41 / $2,519.15	Professional		$575.77	$1,086.41	$2,519.15