Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.10 / $1,174.33 / $6,461.00	Facility		$474.10	$1,174.33	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.10 / $612.94 / $2,092.94	Professional		$474.10	$612.94	$2,092.94
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 $671.21 / $1,396.02 / $2,998.95	Professional		$671.21	$1,396.02	$2,998.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.03 / $2,193.46 / $3,364.83	Facility		$1,877.03	$2,193.46	$3,364.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.50 / $1,109.70 / $1,935.87	Professional		$578.50	$1,109.70	$1,935.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $554.70 / $851.18 / $1,931.28	Facility		$554.70	$851.18	$1,931.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.22 / $1,297.08 / $4,821.00	Facility		$584.22	$1,297.08	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $658.01 / $1,332.98 / $4,216.47	Professional		$658.01	$1,332.98	$4,216.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $402.21 / $1,291.37	Professional		$59.63	$402.21	$1,291.37
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $554.70 / $851.18 / $1,931.28	Facility		$554.70	$851.18	$1,931.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,237.96 / $1,680.14 / $2,343.00	Professional		$1,237.96	$1,680.14	$2,343.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,101.27 / $1,471.84 / $3,996.84	Facility		$1,101.27	$1,471.84	$3,996.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $667.39 / $2,709.70 / $5,242.80	Professional		$667.39	$2,709.70	$5,242.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,035.18 / $2,421.55 / $3,027.73	Professional		$1,035.18	$2,421.55	$3,027.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $652.22 / $1,250.99 / $2,782.08	Professional		$652.22	$1,250.99	$2,782.08