Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.92 / $1,505.66 / $6,461.00	Facility		$611.92	$1,505.66	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.92 / $767.31 / $1,809.32	Professional		$611.92	$767.31	$1,809.32
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 $851.27 / $1,816.67 / $3,817.35	Professional		$851.27	$1,816.67	$3,817.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,314.98 / $2,705.23 / $4,149.89	Facility		$2,314.98	$2,705.23	$4,149.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.04 / $1,304.89 / $2,393.46	Professional		$745.04	$1,304.89	$2,393.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $715.96 / $1,101.93 / $2,412.42	Facility		$715.96	$1,101.93	$2,412.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $727.12 / $1,528.80 / $10,568.00	Facility		$727.12	$1,528.80	$10,568.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $829.87 / $1,683.96 / $5,440.32	Professional		$829.87	$1,683.96	$5,440.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $491.24 / $1,528.26	Professional		$63.88	$491.24	$1,528.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $715.96 / $1,101.93 / $2,412.42	Facility		$715.96	$1,101.93	$2,412.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,551.80 / $2,114.64 / $2,937.00	Professional		$1,551.80	$2,114.64	$2,937.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,411.97 / $1,887.09 / $5,169.18	Facility		$1,411.97	$1,887.09	$5,169.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $846.67 / $3,544.30 / $6,525.60	Professional		$846.67	$3,544.30	$6,525.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.98 / $3,070.78 / $3,749.42	Professional		$1,557.98	$3,070.78	$3,749.42
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 $820.45 / $1,332.26 / $3,514.59	Professional		$820.45	$1,332.26	$3,514.59