Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.02 / $1,620.92 / $14,482.00	Facility		$844.02	$1,620.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $770.30 / $844.02 / $3,007.50	Professional		$770.30	$844.02	$3,007.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.56 / $1,989.65 / $4,318.76	Professional		$754.56	$1,989.65	$4,318.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,028.42 / $2,370.37 / $3,823.32	Facility		$2,028.42	$2,370.37	$3,823.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,073.42 / $2,446.92 / $3,267.07	Professional		$1,073.42	$2,446.92	$3,267.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $792.45 / $1,056.38 / $2,406.21	Facility		$792.45	$1,056.38	$2,406.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $844.02 / $6,412.90 / $15,702.00	Facility		$844.02	$6,412.90	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $842.48 / $1,737.92 / $3,871.04	Professional		$842.48	$1,737.92	$3,871.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $640.84 / $1,653.53	Professional		$63.30	$640.84	$1,653.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $792.45 / $1,056.38 / $2,406.21	Facility		$792.45	$1,056.38	$2,406.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,533.35 / $2,367.73 / $2,789.05	Professional		$1,533.35	$2,367.73	$2,789.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,090.42 / $3,768.25 / $5,835.28	Professional		$1,090.42	$3,768.25	$5,835.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,367.52 / $3,788.30 / $3,788.30	Professional		$2,367.52	$3,788.30	$3,788.30
United Facility/Professional Facility Modifier Low / Median / High Price $6,796.10 / $11,733.00 / $14,978.00	Facility		$6,796.10	$11,733.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $2,199.84 / $3,546.96	Professional		$864.47	$2,199.84	$3,546.96