Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.27 / $1,490.83 / $14,482.00	Facility		$713.27	$1,490.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.28 / $737.33 / $3,272.24	Professional		$691.28	$737.33	$3,272.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.51 / $1,646.01 / $4,431.27	Professional		$683.51	$1,646.01	$4,431.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,867.12 / $2,181.88 / $3,347.06	Facility		$1,867.12	$2,181.88	$3,347.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.33 / $2,894.49 / $3,289.19	Professional		$1,113.33	$2,894.49	$3,289.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $713.27 / $956.91 / $1,576.33	Facility		$713.27	$956.91	$1,576.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $713.27 / $1,169.63 / $1,789.00	Facility		$713.27	$1,169.63	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $797.78 / $1,377.10 / $5,464.40	Professional		$797.78	$1,377.10	$5,464.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $418.32 / $761.01 / $1,807.14	Professional		$418.32	$761.01	$1,807.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $713.27 / $956.91 / $1,576.33	Facility		$713.27	$956.91	$1,576.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,218.24 / $1,779.53 / $2,561.91	Professional		$1,218.24	$1,779.53	$2,561.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,415.18 / $3,415.18 / $3,415.18	Facility		$3,415.18	$3,415.18	$3,415.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,313.58 / $3,422.85 / $5,464.40	Professional		$1,313.58	$3,422.85	$5,464.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,376.81 / $2,376.81 / $2,376.81	Professional		$2,376.81	$2,376.81	$2,376.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.63 / $3,674.74 / $4,606.39	Professional		$2,062.63	$3,674.74	$4,606.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $783.94 / $1,484.10 / $3,222.85	Professional		$783.94	$1,484.10	$3,222.85