Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.79 / $1,731.85 / $6,461.00	Facility		$686.79	$1,731.85	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.79 / $914.09 / $2,841.23	Professional		$686.79	$914.09	$2,841.23
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 $972.02 / $2,042.99 / $4,352.01	Professional		$972.02	$2,042.99	$4,352.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,653.80 / $3,101.17 / $4,757.28	Facility		$2,653.80	$3,101.17	$4,757.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.73 / $1,519.99 / $2,729.64	Professional		$856.73	$1,519.99	$2,729.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $803.54 / $1,250.66 / $2,748.84	Facility		$803.54	$1,250.66	$2,748.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $842.37 / $1,842.28 / $5,169.00	Facility		$842.37	$1,842.28	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $978.94 / $1,946.65 / $6,093.68	Professional		$978.94	$1,946.65	$6,093.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $559.19 / $1,746.10	Professional		$93.48	$559.19	$1,746.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $803.54 / $1,250.66 / $2,748.84	Facility		$803.54	$1,250.66	$2,748.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,753.48 / $2,379.81 / $3,318.70	Professional		$1,753.48	$2,379.81	$3,318.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,587.65 / $2,121.88 / $5,755.56	Facility		$1,587.65	$2,121.88	$5,755.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $952.14 / $3,970.80 / $7,444.08	Professional		$952.14	$3,970.80	$7,444.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,774.59 / $3,495.62 / $4,293.26	Professional		$1,774.59	$3,495.62	$4,293.26
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 $869.25 / $1,511.54 / $3,999.31	Professional		$869.25	$1,511.54	$3,999.31