Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.52 / $3,391.74 / $14,482.00	Facility		$1,379.52	$3,391.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $861.78 / $1,236.72 / $3,278.24	Professional		$861.78	$1,236.72	$3,278.24
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 $876.91 / $1,781.15 / $4,717.05	Professional		$876.91	$1,781.15	$4,717.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,429.42 / $2,838.97 / $4,579.16	Facility		$2,429.42	$2,838.97	$4,579.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.84 / $2,228.33 / $4,475.39	Professional		$1,109.84	$2,228.33	$4,475.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $891.21 / $1,284.67 / $1,878.73	Facility		$891.21	$1,284.67	$1,878.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $984.14 / $4,103.00 / $8,384.00	Facility		$984.14	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $917.33 / $1,876.78 / $6,873.52	Professional		$917.33	$1,876.78	$6,873.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $511.09 / $1,516.75	Professional		$62.75	$511.09	$1,516.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $891.21 / $1,284.67 / $2,455.17	Facility		$891.21	$1,284.67	$2,455.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,646.40 / $2,173.25 / $3,244.23	Professional		$1,646.40	$2,173.25	$3,244.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,459.96 / $6,459.96 / $6,459.96	Facility		$6,459.96	$6,459.96	$6,459.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,520.47 / $4,509.75 / $6,873.52	Professional		$1,520.47	$4,509.75	$6,873.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,572.29 / $5,564.95 / $8,932.91	Professional		$3,572.29	$5,564.95	$8,932.91
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 $917.33 / $1,876.78 / $3,988.67	Professional		$917.33	$1,876.78	$3,988.67