Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.85 / $1,037.35 / $3,119.00	Facility		$418.85	$1,037.35	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.85 / $554.49 / $1,721.30	Professional		$418.85	$554.49	$1,721.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.94 / $1,245.51 / $2,653.19	Professional		$598.94	$1,245.51	$2,653.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,686.00 / $1,970.22 / $3,022.37	Facility		$1,686.00	$1,970.22	$3,022.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.04 / $907.69 / $1,859.26	Professional		$512.04	$907.69	$1,859.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $480.20 / $757.93 / $1,749.06	Facility		$480.20	$757.93	$1,749.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.86 / $1,166.04 / $4,821.00	Facility		$498.86	$1,166.04	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.45 / $1,195.28 / $3,731.68	Professional		$591.45	$1,195.28	$3,731.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $370.10 / $1,164.81	Professional		$59.63	$370.10	$1,164.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $480.20 / $757.93 / $1,749.06	Facility		$480.20	$757.93	$1,749.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,105.92 / $1,522.38 / $2,089.63	Professional		$1,105.92	$1,522.38	$2,089.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $972.82 / $1,300.16 / $2,366.40	Facility		$972.82	$1,300.16	$2,366.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $605.99 / $2,390.90 / $4,718.72	Professional		$605.99	$2,390.90	$4,718.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $966.35 / $2,137.71 / $2,720.71	Professional		$966.35	$2,137.71	$2,720.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $572.03 / $1,004.47 / $2,494.69	Professional		$572.03	$1,004.47	$2,494.69