Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.87 / $3,595.29 / $14,482.00	Facility		$1,502.87	$3,595.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.84 / $1,126.17 / $3,810.47	Professional		$702.84	$1,126.17	$3,810.47
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 $849.57 / $1,940.41 / $4,627.55	Professional		$849.57	$1,940.41	$4,627.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,647.49 / $3,093.80 / $4,990.18	Facility		$2,647.49	$3,093.80	$4,990.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.31 / $2,385.08 / $4,827.63	Professional		$1,124.31	$2,385.08	$4,827.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $902.81 / $1,284.47 / $2,010.53	Facility		$902.81	$1,284.47	$2,010.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.68 / $4,103.00 / $8,384.00	Facility		$954.68	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $896.58 / $1,825.53 / $7,361.84	Professional		$896.58	$1,825.53	$7,361.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $556.40 / $1,591.90	Professional		$91.28	$556.40	$1,591.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $896.58 / $1,284.47 / $2,192.42	Facility		$896.58	$1,284.47	$2,192.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,743.00 / $2,300.76 / $3,434.58	Professional		$1,743.00	$2,300.76	$3,434.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,959.10 / $6,959.10 / $6,959.10	Facility		$6,959.10	$6,959.10	$6,959.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,640.13 / $4,474.35 / $7,361.84	Professional		$1,640.13	$4,474.35	$7,361.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,952.73 / $6,133.38 / $9,635.91	Professional		$2,952.73	$6,133.38	$9,635.91
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $901.33 / $1,657.62 / $3,893.37	Professional		$901.33	$1,657.62	$3,893.37