Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.52 / $1,729.19 / $5,188.47	Facility		$702.52	$1,729.19	$5,188.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.52 / $885.02 / $1,785.02	Professional		$702.52	$885.02	$1,785.02
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 $972.83 / $2,088.75 / $4,399.59	Professional		$972.83	$2,088.75	$4,399.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,675.43 / $3,126.45 / $4,796.05	Facility		$2,675.43	$3,126.45	$4,796.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.88 / $1,498.64 / $2,961.20	Professional		$813.88	$1,498.64	$2,961.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $824.52 / $1,265.65 / $2,788.50	Facility		$824.52	$1,265.65	$2,788.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.22 / $1,761.38 / $4,821.00	Facility		$851.22	$1,761.38	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $962.72 / $1,918.45 / $6,245.20	Professional		$962.72	$1,918.45	$6,245.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.48 / $574.71 / $1,906.06	Professional		$93.48	$574.71	$1,906.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $824.52 / $1,265.65 / $2,788.50	Facility		$824.52	$1,265.65	$2,788.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,785.45 / $2,429.50 / $3,379.20	Professional		$1,785.45	$2,429.50	$3,379.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,621.60 / $2,167.25 / $3,945.12	Facility		$1,621.60	$2,167.25	$3,945.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $973.31 / $4,029.50 / $7,531.76	Professional		$973.31	$4,029.50	$7,531.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.52 / $3,562.68 / $4,333.29	Professional		$1,555.52	$3,562.68	$4,333.29
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 $871.47 / $1,516.54 / $3,594.05	Professional		$871.47	$1,516.54	$3,594.05