Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.12 / $2,500.44 / $14,482.00	Facility		$1,017.12	$2,500.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.86 / $910.77 / $2,411.80	Professional		$634.86	$910.77	$2,411.80
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 $644.82 / $1,313.24 / $3,470.70	Professional		$644.82	$1,313.24	$3,470.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,792.33 / $2,094.48 / $3,378.32	Facility		$1,792.33	$2,094.48	$3,378.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $817.61 / $1,645.05 / $3,298.24	Professional		$817.61	$1,645.05	$3,298.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $623.54 / $937.93 / $1,336.39	Facility		$623.54	$937.93	$1,336.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.26 / $4,103.00 / $8,384.00	Facility		$656.26	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $671.86 / $1,380.67 / $5,060.64	Professional		$671.86	$1,380.67	$5,060.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $389.42 / $1,119.20	Professional		$62.75	$389.42	$1,119.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $623.54 / $937.93 / $1,386.69	Facility		$623.54	$937.93	$1,386.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,214.40 / $1,603.01 / $2,392.98	Professional		$1,214.40	$1,603.01	$2,392.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,819.45 / $5,819.45 / $5,819.45	Facility		$5,819.45	$5,819.45	$5,819.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,120.53 / $3,317.65 / $5,060.64	Professional		$1,120.53	$3,317.65	$5,060.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,625.00 / $4,098.43 / $6,583.19	Professional		$2,625.00	$4,098.43	$6,583.19
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 $684.93 / $1,344.14 / $2,959.34	Professional		$684.93	$1,344.14	$2,959.34