Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.59 / $1,921.21 / $6,461.00	Facility		$639.59	$1,921.21	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.59 / $847.26 / $3,427.29	Professional		$639.59	$847.26	$3,427.29
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 $903.32 / $1,902.15 / $4,037.30	Professional		$903.32	$1,902.15	$4,037.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,457.35 / $2,871.61 / $4,405.13	Facility		$2,457.35	$2,871.61	$4,405.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.81 / $1,462.78 / $2,397.23	Professional		$835.81	$1,462.78	$2,397.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $749.38 / $1,159.24 / $2,561.61	Facility		$749.38	$1,159.24	$2,561.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $781.13 / $1,707.74 / $5,169.00	Facility		$781.13	$1,707.74	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $910.29 / $1,808.85 / $5,771.70	Professional		$910.29	$1,808.85	$5,771.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $538.62 / $1,673.53	Professional		$93.48	$538.62	$1,673.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $749.38 / $1,159.24 / $2,561.61	Facility		$749.38	$1,159.24	$2,561.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,626.20 / $2,207.06 / $3,077.80	Professional		$1,626.20	$2,207.06	$3,077.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,480.29 / $1,978.40 / $5,359.68	Facility		$1,480.29	$1,978.40	$5,359.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $886.81 / $3,705.05 / $6,899.60	Professional		$886.81	$3,705.05	$6,899.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,647.70 / $3,255.80 / $3,978.00	Professional		$1,647.70	$3,255.80	$3,978.00
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 $853.87 / $1,405.22 / $3,402.79	Professional		$853.87	$1,405.22	$3,402.79