Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.12 / $1,668.30 / $12,076.50	Facility		$573.12	$1,668.30	$12,076.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.12 / $775.74 / $2,515.31	Professional		$573.12	$775.74	$2,515.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.10 / $1,712.04 / $3,647.00	Professional		$816.10	$1,712.04	$3,647.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,219.46 / $2,593.61 / $3,978.67	Facility		$2,219.46	$2,593.61	$3,978.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.86 / $1,227.43 / $2,460.15	Professional		$759.86	$1,227.43	$2,460.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $675.76 / $1,051.39 / $2,337.03	Facility		$675.76	$1,051.39	$2,337.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $709.79 / $1,539.32 / $10,568.00	Facility		$709.79	$1,539.32	$10,568.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $861.63 / $1,623.65 / $5,106.32	Professional		$861.63	$1,623.65	$5,106.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $486.41 / $1,465.93	Professional		$63.88	$486.41	$1,465.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $675.76 / $1,051.39 / $2,337.03	Facility		$675.76	$1,051.39	$2,337.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,480.90 / $2,009.86 / $2,802.80	Professional		$1,480.90	$2,009.86	$2,802.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,323.52 / $1,768.87 / $4,840.97	Facility		$1,323.52	$1,768.87	$4,840.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $805.77 / $3,327.60 / $6,267.68	Professional		$805.77	$3,327.60	$6,267.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,502.66 / $2,914.07 / $3,600.03	Professional		$1,502.66	$2,914.07	$3,600.03
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.66 / $1,316.13 / $3,102.93	Professional		$769.66	$1,316.13	$3,102.93