Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.83 / $2,093.67 / $14,482.00	Facility		$856.83	$2,093.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $856.83 / $945.42 / $3,222.90	Professional		$856.83	$945.42	$3,222.90
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 $1,016.29 / $2,159.64 / $4,559.89	Professional		$1,016.29	$2,159.64	$4,559.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,647.49 / $3,093.80 / $4,745.97	Facility		$2,647.49	$3,093.80	$4,745.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.78 / $2,009.49 / $2,961.24	Professional		$1,043.78	$2,009.49	$2,961.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $930.52 / $1,269.21 / $2,943.66	Facility		$930.52	$1,269.21	$2,943.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $945.65 / $2,896.98 / $11,598.00	Facility		$945.65	$2,896.98	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,031.49 / $1,849.33 / $4,395.25	Professional		$1,031.49	$1,849.33	$4,395.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.09 / $595.05 / $1,812.51	Professional		$95.09	$595.05	$1,812.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $930.52 / $1,269.21 / $2,943.66	Facility		$930.52	$1,269.21	$2,943.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,936.58 / $2,483.02 / $3,523.77	Professional		$1,936.58	$2,483.02	$3,523.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,529.08 / $11,102.00 / $11,102.00	Facility		$7,529.08	$11,102.00	$11,102.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,180.31 / $4,283.37 / $7,602.32	Professional		$1,180.31	$4,283.37	$7,602.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,823.84 / $4,333.29 / $4,333.29	Professional		$1,823.84	$4,333.29	$4,333.29
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 $955.03 / $1,588.94 / $3,811.06	Professional		$955.03	$1,588.94	$3,811.06