Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.62 / $1,344.15 / $6,461.00	Facility		$545.62	$1,344.15	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.62 / $681.54 / $1,304.49	Professional		$545.62	$681.54	$1,304.49
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 $775.90 / $1,634.69 / $3,424.27	Professional		$775.90	$1,634.69	$3,424.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,073.48 / $2,423.02 / $3,716.98	Facility		$2,073.48	$2,423.02	$3,716.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.44 / $1,164.94 / $2,146.88	Professional		$659.44	$1,164.94	$2,146.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $638.61 / $979.36 / $2,159.85	Facility		$638.61	$979.36	$2,159.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $662.52 / $1,359.37 / $4,821.00	Facility		$662.52	$1,359.37	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $779.28 / $1,556.19 / $5,828.24	Professional		$779.28	$1,556.19	$5,828.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $449.55 / $1,433.62	Professional		$63.88	$449.55	$1,433.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $638.61 / $979.36 / $2,159.85	Facility		$638.61	$979.36	$2,159.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,374.54 / $1,868.78 / $2,601.50	Professional		$1,374.54	$1,868.78	$2,601.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,260.51 / $1,684.67 / $4,557.24	Facility		$1,260.51	$1,684.67	$4,557.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $754.04 / $3,197.80 / $5,828.24	Professional		$754.04	$3,197.80	$5,828.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.62 / $2,768.33 / $3,358.59	Professional		$1,421.62	$2,768.33	$3,358.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.98 / $1,254.09 / $3,078.81	Professional		$745.98	$1,254.09	$3,078.81