Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.09 / $1,720.89 / $8,224.45	Facility		$557.09	$1,720.89	$8,224.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.09 / $705.86 / $1,395.50	Professional		$557.09	$705.86	$1,395.50
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 $801.33 / $1,642.13 / $3,541.14	Professional		$801.33	$1,642.13	$3,541.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,210.44 / $2,583.08 / $3,962.51	Facility		$2,210.44	$2,583.08	$3,962.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.67 / $1,326.29 / $2,443.10	Professional		$689.67	$1,326.29	$2,443.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $634.77 / $1,004.88 / $2,294.52	Facility		$634.77	$1,004.88	$2,294.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $663.80 / $1,636.54 / $7,318.00	Facility		$663.80	$1,636.54	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.96 / $1,596.50 / $4,970.00	Professional		$776.96	$1,596.50	$4,970.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $463.75 / $1,452.25	Professional		$63.88	$463.75	$1,452.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $634.77 / $1,004.88 / $2,294.52	Facility		$634.77	$1,004.88	$2,294.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,467.36 / $1,998.03 / $2,775.91	Professional		$1,467.36	$1,998.03	$2,775.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,290.50 / $1,724.74 / $3,149.72	Facility		$1,290.50	$1,724.74	$3,149.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $799.79 / $3,220.10 / $6,214.80	Professional		$799.79	$3,220.10	$6,214.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,219.93 / $2,839.83 / $3,575.08	Professional		$1,219.93	$2,839.83	$3,575.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.84 / $1,436.85 / $3,165.48	Professional		$764.84	$1,436.85	$3,165.48