Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.57 / $2,101.19 / $14,482.00	Facility		$957.57	$2,101.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.84 / $957.57 / $3,647.97	Professional		$903.84	$957.57	$3,647.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,004.88 / $2,658.02 / $5,816.47	Professional		$1,004.88	$2,658.02	$5,816.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,689.84 / $3,143.29 / $5,070.02	Facility		$2,689.84	$3,143.29	$5,070.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.45 / $2,962.96 / $4,260.64	Professional		$1,391.45	$2,962.96	$4,260.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $957.57 / $1,405.90 / $2,260.80	Facility		$957.57	$1,405.90	$2,260.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,027.25 / $5,266.00 / $15,126.00	Facility		$1,027.25	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,177.56 / $2,483.55 / $6,604.55	Professional		$1,177.56	$2,483.55	$6,604.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $661.16 / $2,121.55	Professional		$70.00	$661.16	$2,121.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $957.57 / $1,405.90 / $2,260.80	Facility		$957.57	$1,405.90	$2,260.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,008.50 / $3,101.43 / $3,653.31	Professional		$2,008.50	$3,101.43	$3,653.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,436.05 / $4,967.10 / $8,569.23	Professional		$1,436.05	$4,967.10	$8,569.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,844.86 / $2,844.86 / $2,844.86	Professional		$2,844.86	$2,844.86	$2,844.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,207.33 / $5,787.72 / $5,787.72	Professional		$3,207.33	$5,787.72	$5,787.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,131.05 / $2,776.48 / $5,009.82	Professional		$1,131.05	$2,776.48	$5,009.82