Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.02 / $633.02 / $14,482.00	Facility		$283.02	$633.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $309.93 / $1,195.69	Professional		$283.02	$309.93	$1,195.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,810.00 / $23,778.77	Facility		$10,878.00	$15,810.00	$23,778.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.08 / $681.42 / $1,753.93	Professional		$290.08	$681.42	$1,753.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.10 / $936.14 / $1,436.07	Facility		$801.10	$936.14	$1,436.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.12 / $1,189.02 / $1,351.16	Professional		$481.12	$1,189.02	$1,351.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $281.33 / $360.12 / $623.09	Facility		$281.33	$360.12	$623.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.33 / $440.11 / $19,562.00	Facility		$281.33	$440.11	$19,562.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $324.73 / $583.70 / $8,263.84	Professional		$324.73	$583.70	$8,263.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $204.95 / $620.20	Professional		$56.50	$204.95	$620.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $281.33 / $337.61 / $623.09	Facility		$281.33	$337.61	$623.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $760.32 / $1,135.01	Professional		$624.00	$760.32	$1,135.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,500.47 / $41,500.47 / $114,559.55	Facility		$41,500.47	$41,500.47	$114,559.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $597.36 / $1,459.25 / $8,263.84	Professional		$597.36	$1,459.25	$8,263.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,070.33 / $1,070.33 / $1,070.33	Professional		$1,070.33	$1,070.33	$1,070.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $948.98 / $1,656.14 / $1,780.43	Professional		$948.98	$1,656.14	$1,780.43
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.72 / $564.97 / $1,313.33	Professional		$323.72	$564.97	$1,313.33