Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.22 / $1,673.51 / $14,482.00	Facility		$1,217.22	$1,673.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.72 / $1,083.28 / $2,159.21	Professional		$710.72	$1,083.28	$2,159.21
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 $798.89 / $1,571.59 / $3,921.46	Professional		$798.89	$1,571.59	$3,921.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,373.55 / $2,773.68 / $4,473.85	Facility		$2,373.55	$2,773.68	$4,473.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.19 / $1,882.20 / $3,955.76	Professional		$887.19	$1,882.20	$3,955.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $822.03 / $1,190.05 / $1,659.07	Facility		$822.03	$1,190.05	$1,659.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $853.59 / $1,460.66 / $8,384.00	Facility		$853.59	$1,460.66	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $860.56 / $1,886.55 / $6,722.39	Professional		$860.56	$1,886.55	$6,722.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $500.23 / $1,449.75	Professional		$91.34	$500.23	$1,449.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $812.81 / $1,190.05 / $1,707.72	Facility		$812.81	$1,190.05	$1,707.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,565.85 / $2,076.12 / $2,988.90	Professional		$1,565.85	$2,076.12	$2,988.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,650.56 / $6,650.56 / $6,650.56	Facility		$6,650.56	$6,650.56	$6,650.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,365.38 / $3,944.15 / $6,722.39	Professional		$1,365.38	$3,944.15	$6,722.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,569.66 / $7,895.75 / $8,662.20	Professional		$2,569.66	$7,895.75	$8,662.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.21 / $1,593.72 / $3,775.26	Professional		$790.21	$1,593.72	$3,775.26