Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.12 / $1,747.31 / $8,935.20	Facility		$587.12	$1,747.31	$8,935.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.12 / $735.36 / $1,477.78	Professional		$587.12	$735.36	$1,477.78
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 $820.12 / $1,747.90 / $3,699.49	Professional		$820.12	$1,747.90	$3,699.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,241.98 / $2,619.94 / $4,019.05	Facility		$2,241.98	$2,619.94	$4,019.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.02 / $1,279.51 / $2,319.42	Professional		$709.02	$1,279.51	$2,319.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $686.93 / $1,056.81 / $2,329.73	Facility		$686.93	$1,056.81	$2,329.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $715.77 / $1,553.16 / $4,912.80	Facility		$715.77	$1,553.16	$4,912.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $811.82 / $1,621.54 / $5,194.08	Professional		$811.82	$1,621.54	$5,194.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $483.23 / $1,518.40	Professional		$63.88	$483.23	$1,518.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $686.93 / $1,056.81 / $2,329.73	Facility		$686.93	$1,056.81	$2,329.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,484.38 / $2,014.60 / $2,809.40	Professional		$1,484.38	$2,014.60	$2,809.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,349.89 / $1,804.12 / $4,912.80	Facility		$1,349.89	$1,804.12	$4,912.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $810.45 / $3,382.25 / $6,301.44	Professional		$810.45	$3,382.25	$6,301.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,395.84 / $2,975.43 / $3,629.51	Professional		$1,395.84	$2,975.43	$3,629.51
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 $776.58 / $1,291.73 / $3,384.33	Professional		$776.58	$1,291.73	$3,384.33