Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.59 / $921.59 / $14,482.00	Facility		$921.59	$921.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.22 / $970.60 / $1,147.06	Professional		$825.22	$970.60	$1,147.06
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 $1,064.77 / $2,323.91 / $4,838.24	Professional		$1,064.77	$2,323.91	$4,838.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,852.04 / $3,332.84 / $5,112.66	Facility		$2,852.04	$3,332.84	$5,112.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,038.76 / $2,151.57 / $3,456.51	Professional		$1,038.76	$2,151.57	$3,456.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $921.59 / $1,668.34 / $3,210.84	Facility		$921.59	$1,668.34	$3,210.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,013.75 / $3,154.50 / $6,150.00	Facility		$1,013.75	$3,154.50	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,033.27 / $1,721.27 / $5,044.72	Professional		$1,033.27	$1,721.27	$5,044.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $85.00 / $2,785.99	Professional		$65.00	$85.00	$2,785.99
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $921.59 / $1,668.34 / $3,210.84	Facility		$921.59	$1,668.34	$3,210.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,030.40 / $2,680.13 / $3,741.53	Professional		$2,030.40	$2,680.13	$3,741.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,773.88 / $7,835.04 / $7,835.04	Facility		$3,773.88	$7,835.04	$7,835.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,272.08 / $4,616.42 / $9,514.93	Professional		$1,272.08	$4,616.42	$9,514.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,113.98 / $3,909.35 / $3,909.35	Professional		$1,113.98	$3,909.35	$3,909.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.75 / $1,684.19 / $4,284.07	Professional		$995.75	$1,684.19	$4,284.07