Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.32 / $1,091.58 / $2,350.10	Facility		$440.32	$1,091.58	$2,350.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.32 / $553.73 / $1,263.29	Professional		$440.32	$553.73	$1,263.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $619.87 / $1,293.24 / $2,761.55	Professional		$619.87	$1,293.24	$2,761.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,686.90 / $1,971.27 / $3,023.98	Facility		$1,686.90	$1,971.27	$3,023.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.07 / $1,007.96 / $1,731.38	Professional		$573.07	$1,007.96	$1,731.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $518.86 / $796.83 / $1,757.97	Facility		$518.86	$796.83	$1,757.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $534.29 / $1,260.78 / $4,821.00	Facility		$534.29	$1,260.78	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.32 / $1,243.51 / $3,929.76	Professional		$608.32	$1,243.51	$3,929.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $370.54 / $1,162.44	Professional		$59.63	$370.54	$1,162.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $518.86 / $796.83 / $1,757.97	Facility		$518.86	$796.83	$1,757.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,118.81 / $1,522.25 / $2,117.50	Professional		$1,118.81	$1,522.25	$2,117.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,023.67 / $1,368.12 / $2,477.44	Facility		$1,023.67	$1,368.12	$2,477.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $613.17 / $2,542.00 / $5,064.29	Professional		$613.17	$2,542.00	$5,064.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,130.56 / $2,233.87 / $2,731.21	Professional		$1,130.56	$2,233.87	$2,731.21
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 $586.05 / $1,276.24 / $2,554.73	Professional		$586.05	$1,276.24	$2,554.73