Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.79 / $2,304.69 / $13,942.50	Facility		$833.79	$2,304.69	$13,942.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.79 / $974.40 / $3,246.13	Professional		$833.79	$974.40	$3,246.13
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 $1,078.74 / $2,401.64 / $4,947.34	Professional		$1,078.74	$2,401.64	$4,947.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,943.96 / $3,440.25 / $5,277.43	Facility		$2,943.96	$3,440.25	$5,277.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.36 / $1,595.52 / $3,061.16	Professional		$977.36	$1,595.52	$3,061.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $944.67 / $1,395.39 / $3,142.08	Facility		$944.67	$1,395.39	$3,142.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $975.53 / $2,214.07 / $10,843.00	Facility		$975.53	$2,214.07	$10,843.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,082.83 / $2,048.96 / $7,391.20	Professional		$1,082.83	$2,048.96	$7,391.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $643.55 / $2,028.86	Professional		$93.48	$643.55	$2,028.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $944.67 / $1,395.39 / $3,142.08	Facility		$944.67	$1,395.39	$3,142.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,974.81 / $2,765.13 / $3,723.50	Professional		$1,974.81	$2,765.13	$3,723.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,915.71 / $2,560.33 / $6,998.52	Facility		$1,915.71	$2,560.33	$6,998.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,151.08 / $4,177.31 / $8,336.48	Professional		$1,151.08	$4,177.31	$8,336.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.75 / $3,953.00 / $4,784.38	Professional		$1,831.75	$3,953.00	$4,784.38
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 $984.40 / $1,699.87 / $4,266.96	Professional		$984.40	$1,699.87	$4,266.96