Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.03 / $1,800.49 / $6,461.00	Facility		$593.03	$1,800.49	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.03 / $787.91 / $3,060.01	Professional		$593.03	$787.91	$3,060.01
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 $836.42 / $1,764.17 / $3,758.06	Professional		$836.42	$1,764.17	$3,758.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,305.07 / $2,693.65 / $4,132.13	Facility		$2,305.07	$2,693.65	$4,132.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.41 / $1,374.97 / $2,546.69	Professional		$733.41	$1,374.97	$2,546.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $693.85 / $1,066.61 / $2,396.94	Facility		$693.85	$1,066.61	$2,396.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $703.60 / $1,512.35 / $4,983.47	Facility		$703.60	$1,512.35	$4,983.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $1,657.11 / $5,266.00	Professional		$839.50	$1,657.11	$5,266.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $503.94 / $1,536.25	Professional		$93.48	$503.94	$1,536.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $693.85 / $1,066.61 / $2,396.94	Facility		$693.85	$1,066.61	$2,396.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,529.14 / $2,075.33 / $2,894.10	Professional		$1,529.14	$2,075.33	$2,894.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,372.98 / $1,834.97 / $4,983.47	Facility		$1,372.98	$1,834.97	$4,983.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $822.31 / $3,423.70 / $6,464.24	Professional		$822.31	$3,423.70	$6,464.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,310.90 / $3,018.98 / $3,726.70	Professional		$1,310.90	$3,018.98	$3,726.70
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 $801.76 / $1,343.26 / $3,320.55	Professional		$801.76	$1,343.26	$3,320.55