Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.94 / $1,135.67 / $14,482.00	Facility		$460.94	$1,135.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $523.29 / $1,685.57	Professional		$420.77	$523.29	$1,685.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $477.14 / $1,323.91 / $2,469.03	Professional		$477.14	$1,323.91	$2,469.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,434.58 / $1,676.42 / $2,704.01	Facility		$1,434.58	$1,676.42	$2,704.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,009.49 / $1,405.47 / $2,306.42	Professional		$1,009.49	$1,405.47	$2,306.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $460.94 / $646.07 / $1,292.90	Facility		$460.94	$646.07	$1,292.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $485.44 / $4,017.00 / $11,598.00	Facility		$485.44	$4,017.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.00 / $1,266.17 / $2,327.87	Professional		$562.00	$1,266.17	$2,327.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $323.20 / $1,067.77	Professional		$62.75	$323.20	$1,067.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $460.94 / $646.07 / $1,292.90	Facility		$460.94	$646.07	$1,292.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,098.50 / $1,363.53 / $1,998.09	Professional		$1,098.50	$1,363.53	$1,998.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,723.79 / $8,723.79 / $8,723.79	Facility		$8,723.79	$8,723.79	$8,723.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,057.55 / $2,397.19 / $4,092.08	Professional		$1,057.55	$2,397.19	$4,092.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $696.34 / $2,337.14 / $2,337.14	Professional		$696.34	$2,337.14	$2,337.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.12 / $1,356.82 / $2,014.85	Professional		$542.12	$1,356.82	$2,014.85