Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.49 / $1,485.20 / $6,461.00	Facility		$613.49	$1,485.20	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.49 / $738.12 / $2,179.78	Professional		$613.49	$738.12	$2,179.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.10 / $1,840.94 / $3,836.52	Professional		$870.10	$1,840.94	$3,836.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,330.30 / $2,723.14 / $4,177.35	Facility		$2,330.30	$2,723.14	$4,177.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.17 / $1,287.18 / $2,582.50	Professional		$737.17	$1,287.18	$2,582.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $717.17 / $1,071.46 / $2,360.10	Facility		$717.17	$1,071.46	$2,360.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $738.12 / $1,573.40 / $5,169.00	Facility		$738.12	$1,573.40	$5,169.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $882.86 / $1,721.22 / $5,486.00	Professional		$882.86	$1,721.22	$5,486.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $511.50 / $1,535.15	Professional		$63.88	$511.50	$1,535.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $717.17 / $1,071.46 / $2,360.10	Facility		$717.17	$1,071.46	$2,360.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,508.80 / $2,082.02 / $2,855.60	Professional		$1,508.80	$2,082.02	$2,855.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,392.79 / $1,861.45 / $5,197.08	Facility		$1,392.79	$1,861.45	$5,197.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $853.96 / $3,620.90 / $6,576.16	Professional		$853.96	$3,620.90	$6,576.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,571.56 / $3,135.19 / $3,779.09	Professional		$1,571.56	$3,135.19	$3,779.09
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 $828.94 / $1,395.22 / $3,462.32	Professional		$828.94	$1,395.22	$3,462.32