Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.31 / $3,785.10 / $17,162.24	Facility		$836.31	$3,785.10	$17,162.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.94 / $984.86 / $6,210.90	Professional		$771.94	$984.86	$6,210.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $850.64 / $2,324.27 / $4,919.13	Professional		$850.64	$2,324.27	$4,919.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,363.64 / $2,762.10 / $4,455.17	Facility		$2,363.64	$2,762.10	$4,455.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,204.29 / $2,582.23 / $3,718.05	Professional		$1,204.29	$2,582.23	$3,718.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $836.31 / $1,240.48 / $4,588.16	Facility		$836.31	$1,240.48	$4,588.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $889.08 / $4,588.16 / $15,126.00	Facility		$889.08	$4,588.16	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $997.36 / $2,117.03 / $6,150.77	Professional		$997.36	$2,117.03	$6,150.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $551.23 / $1,794.69	Professional		$63.27	$551.23	$1,794.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $836.31 / $1,240.48 / $4,588.16	Facility		$836.31	$1,240.48	$4,588.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,730.30 / $2,671.85 / $3,147.28	Professional		$1,730.30	$2,671.85	$3,147.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,251.52 / $4,234.05 / $7,712.32	Professional		$1,251.52	$4,234.05	$7,712.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,944.36 / $5,044.03 / $5,044.03	Professional		$2,944.36	$5,044.03	$5,044.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $997.36 / $2,711.91 / $4,079.83	Professional		$997.36	$2,711.91	$4,079.83