Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.31 / $1,623.78 / $14,482.00	Facility		$659.31	$1,623.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.31 / $752.20 / $2,646.16	Professional		$659.31	$752.20	$2,646.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.15 / $1,678.30 / $3,521.71	Professional		$764.15	$1,678.30	$3,521.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,043.74 / $2,388.27 / $3,663.67	Facility		$2,043.74	$2,388.27	$3,663.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.57 / $1,650.66 / $2,287.03	Professional		$854.57	$1,650.66	$2,287.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $662.34 / $1,069.81 / $2,288.64	Facility		$662.34	$1,069.81	$2,288.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.96 / $2,251.83 / $5,639.00	Facility		$731.96	$2,251.83	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $766.33 / $1,266.73 / $3,704.33	Professional		$766.33	$1,266.73	$3,704.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $460.94 / $1,464.92	Professional		$63.88	$460.94	$1,464.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $662.34 / $1,069.81 / $2,288.64	Facility		$662.34	$1,069.81	$2,288.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,505.33 / $1,930.08 / $2,739.07	Professional		$1,505.33	$1,930.08	$2,739.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,773.88 / $5,564.75 / $5,564.75	Facility		$3,773.88	$5,564.75	$5,564.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,256.14 / $3,308.13 / $5,874.88	Professional		$1,256.14	$3,308.13	$5,874.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,448.19 / $2,791.06 / $3,346.69	Professional		$1,448.19	$2,791.06	$3,346.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.33 / $1,211.26 / $3,032.21	Professional		$766.33	$1,211.26	$3,032.21