Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.10 / $1,430.98 / $3,119.00	Facility		$573.10	$1,430.98	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.10 / $671.95 / $2,550.32	Professional		$573.10	$671.95	$2,550.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.91 / $1,694.41 / $3,502.41	Professional		$765.91	$1,694.41	$3,502.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.82 / $2,461.98 / $3,776.75	Facility		$2,106.82	$2,461.98	$3,776.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.71 / $1,271.98 / $2,231.71	Professional		$727.71	$1,271.98	$2,231.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $670.53 / $1,006.79 / $2,251.11	Facility		$670.53	$1,006.79	$2,251.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $689.06 / $1,570.10 / $5,169.00	Facility		$689.06	$1,570.10	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $800.54 / $1,502.84 / $5,163.35	Professional		$800.54	$1,502.84	$5,163.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $458.52 / $1,394.52	Professional		$63.88	$458.52	$1,394.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $670.53 / $1,006.79 / $2,251.11	Facility		$670.53	$1,006.79	$2,251.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,429.33 / $1,940.40 / $2,695.00	Professional		$1,429.33	$1,940.40	$2,695.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,341.94 / $1,793.49 / $4,882.08	Facility		$1,341.94	$1,793.49	$4,882.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $800.64 / $2,905.56 / $6,003.04	Professional		$800.64	$2,905.56	$6,003.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,271.74 / $2,939.43 / $3,435.41	Professional		$1,271.74	$2,939.43	$3,435.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $792.49 / $1,270.99 / $3,012.59	Professional		$792.49	$1,270.99	$3,012.59