Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.05 / $1,702.42 / $3,146.61	Facility		$591.05	$1,702.42	$3,146.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.05 / $753.07 / $2,487.55	Professional		$591.05	$753.07	$2,487.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.76 / $1,751.58 / $3,728.19	Professional		$821.76	$1,751.58	$3,728.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,265.42 / $2,647.32 / $4,061.05	Facility		$2,265.42	$2,647.32	$4,061.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.22 / $1,292.02 / $2,508.55	Professional		$751.22	$1,292.02	$2,508.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $691.54 / $1,068.06 / $2,354.07	Facility		$691.54	$1,068.06	$2,354.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $725.43 / $1,569.38 / $4,821.00	Facility		$725.43	$1,569.38	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $827.54 / $1,641.32 / $5,262.32	Professional		$827.54	$1,641.32	$5,262.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $491.24 / $1,612.87	Professional		$63.88	$491.24	$1,612.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $691.54 / $1,068.06 / $2,354.07	Facility		$691.54	$1,068.06	$2,354.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,520.42 / $2,063.94 / $2,877.60	Professional		$1,520.42	$2,063.94	$2,877.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,363.08 / $1,821.75 / $3,339.76	Facility		$1,363.08	$1,821.75	$3,339.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $873.72 / $3,404.35 / $6,396.72	Professional		$873.72	$3,404.35	$6,396.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,290.96 / $2,996.87 / $3,670.88	Professional		$1,290.96	$2,996.87	$3,670.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $4,155.00 / $6,031.18	Facility		$2,781.00	$4,155.00	$6,031.18
United Facility/Professional Professional Modifier Low / Median / High Price $795.63 / $1,304.70 / $3,242.78	Professional		$795.63	$1,304.70	$3,242.78