Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.28 / $2,413.86 / $14,482.00	Facility		$980.28	$2,413.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.24 / $980.28 / $3,186.45	Professional		$629.24	$980.28	$3,186.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.42 / $1,258.58 / $3,051.91	Professional		$620.42	$1,258.58	$3,051.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.66 / $2,027.08 / $3,269.61	Facility		$1,734.66	$2,027.08	$3,269.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.35 / $1,591.43 / $2,366.67	Professional		$775.35	$1,591.43	$2,366.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $601.96 / $902.09 / $1,341.04	Facility		$601.96	$902.09	$1,341.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $685.08 / $4,240.00 / $11,598.00	Facility		$685.08	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $644.90 / $1,326.07 / $5,606.00	Professional		$644.90	$1,326.07	$5,606.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $349.15 / $1,104.25	Professional		$62.75	$349.15	$1,104.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $601.96 / $902.09 / $1,725.77	Facility		$601.96	$902.09	$1,725.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,169.40 / $1,543.61 / $2,191.07	Professional		$1,169.40	$1,543.61	$2,191.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,082.80 / $3,186.45 / $5,606.00	Professional		$1,082.80	$3,186.45	$5,606.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,056.37 / $3,056.37 / $3,056.37	Professional		$3,056.37	$3,056.37	$3,056.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,525.01 / $3,946.48 / $6,361.51	Professional		$2,525.01	$3,946.48	$6,361.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $648.44 / $1,204.48 / $2,792.92	Professional		$648.44	$1,204.48	$2,792.92