Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.29 / $2,079.07 / $4,539.81	Facility		$711.29	$2,079.07	$4,539.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $711.29 / $915.03 / $2,948.54	Professional		$711.29	$915.03	$2,948.54
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 $976.94 / $2,100.55 / $4,376.79	Professional		$976.94	$2,100.55	$4,376.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,663.71 / $3,112.76 / $4,775.05	Facility		$2,663.71	$3,112.76	$4,775.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.96 / $1,582.66 / $2,744.06	Professional		$834.96	$1,582.66	$2,744.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $832.21 / $1,253.29 / $2,754.84	Facility		$832.21	$1,253.29	$2,754.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $846.81 / $1,848.06 / $5,169.00	Facility		$846.81	$1,848.06	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $963.16 / $1,956.90 / $6,304.16	Professional		$963.16	$1,956.90	$6,304.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $570.42 / $1,746.10	Professional		$93.48	$570.42	$1,746.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $832.21 / $1,253.29 / $2,754.84	Facility		$832.21	$1,253.29	$2,754.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,756.97 / $2,394.21 / $3,325.30	Professional		$1,756.97	$2,394.21	$3,325.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,645.99 / $2,199.85 / $5,952.36	Facility		$1,645.99	$2,199.85	$5,952.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $986.11 / $4,106.39 / $7,470.40	Professional		$986.11	$4,106.39	$7,470.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,786.97 / $3,559.52 / $4,309.22	Professional		$1,786.97	$3,559.52	$4,309.22
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 $924.03 / $1,520.29 / $3,874.20	Professional		$924.03	$1,520.29	$3,874.20