Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.84 / $1,923.41 / $8,656.54	Facility		$666.84	$1,923.41	$8,656.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.84 / $808.23 / $2,746.66	Professional		$666.84	$808.23	$2,746.66
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 $900.26 / $1,943.49 / $4,058.18	Professional		$900.26	$1,943.49	$4,058.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,469.07 / $2,885.30 / $4,426.13	Facility		$2,469.07	$2,885.30	$4,426.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.30 / $1,495.99 / $2,544.30	Professional		$789.30	$1,495.99	$2,544.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $742.00 / $1,163.29 / $2,556.51	Facility		$742.00	$1,163.29	$2,556.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $785.17 / $1,709.70 / $5,169.00	Facility		$785.17	$1,709.70	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $878.55 / $1,784.53 / $5,921.68	Professional		$878.55	$1,784.53	$5,921.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $525.28 / $1,612.94	Professional		$93.48	$525.28	$1,612.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $742.00 / $1,163.29 / $2,556.51	Facility		$742.00	$1,163.29	$2,556.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,637.60 / $2,223.14 / $3,087.70	Professional		$1,637.60	$2,223.14	$3,087.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,543.78 / $2,063.25 / $5,607.06	Facility		$1,543.78	$2,063.25	$5,607.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $926.15 / $3,838.30 / $6,925.92	Professional		$926.15	$3,838.30	$6,925.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,462.94 / $3,278.07 / $3,993.36	Professional		$1,462.94	$3,278.07	$3,993.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $834.51 / $1,408.00 / $3,559.14	Professional		$834.51	$1,408.00	$3,559.14