Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.26 / $2,081.86 / $9,684.61	Facility		$510.26	$2,081.86	$9,684.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.26 / $662.76 / $1,360.63	Professional		$510.26	$662.76	$1,360.63
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 $730.75 / $1,518.92 / $3,235.63	Professional		$730.75	$1,518.92	$3,235.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,048.25 / $2,393.54 / $3,671.75	Facility		$2,048.25	$2,393.54	$3,671.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.23 / $1,220.38 / $2,167.35	Professional		$629.23	$1,220.38	$2,167.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $596.16 / $963.39 / $2,108.48	Facility		$596.16	$963.39	$2,108.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $622.54 / $1,413.52 / $4,821.00	Facility		$622.54	$1,413.52	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $739.96 / $1,476.53 / $4,532.56	Professional		$739.96	$1,476.53	$4,532.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $447.77 / $1,393.26	Professional		$63.88	$447.77	$1,393.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $596.16 / $963.39 / $2,108.48	Facility		$596.16	$963.39	$2,108.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,328.40 / $1,831.59 / $2,541.04	Professional		$1,328.40	$1,831.59	$2,541.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,179.70 / $1,576.66 / $4,294.80	Facility		$1,179.70	$1,576.66	$4,294.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $731.33 / $2,942.25 / $5,728.24	Professional		$731.33	$2,942.25	$5,728.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,120.58 / $2,599.55 / $3,305.83	Professional		$1,120.58	$2,599.55	$3,305.83
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 $706.76 / $1,393.41 / $2,941.77	Professional		$706.76	$1,393.41	$2,941.77