Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.43 / $2,369.67 / $14,482.00	Facility		$962.43	$2,369.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.64 / $962.43 / $2,279.53	Professional		$601.64	$962.43	$2,279.53
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 $609.13 / $1,242.61 / $2,995.27	Professional		$609.13	$1,242.61	$2,995.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,704.02 / $1,991.28 / $3,211.86	Facility		$1,704.02	$1,991.28	$3,211.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.14 / $1,561.73 / $2,323.30	Professional		$758.14	$1,561.73	$2,323.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $590.94 / $884.91 / $1,316.66	Facility		$590.94	$884.91	$1,316.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $670.71 / $4,240.00 / $11,598.00	Facility		$670.71	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $625.80 / $1,301.04 / $5,206.00	Professional		$625.80	$1,301.04	$5,206.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $349.15 / $1,061.46	Professional		$62.75	$349.15	$1,061.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $590.94 / $884.91 / $1,693.97	Facility		$590.94	$884.91	$1,693.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,149.00 / $1,516.68 / $2,152.84	Professional		$1,149.00	$1,516.68	$2,152.84
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 $1,062.95 / $3,126.30 / $5,206.00	Professional		$1,062.95	$3,126.30	$5,206.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,477.29 / $3,873.28 / $6,244.97	Professional		$2,477.29	$3,873.28	$6,244.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.79 / $1,261.14 / $2,740.20	Professional		$633.79	$1,261.14	$2,740.20