Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.04 / $1,367.71 / $14,482.00	Facility		$655.04	$1,367.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.80 / $676.27 / $3,005.66	Professional		$634.80	$676.27	$3,005.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.16 / $1,511.65 / $4,068.09	Professional		$627.16	$1,511.65	$4,068.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,712.13 / $2,000.76 / $3,069.21	Facility		$1,712.13	$2,000.76	$3,069.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.28 / $2,655.14 / $3,017.20	Professional		$1,021.28	$2,655.14	$3,017.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $655.04 / $878.04 / $1,447.66	Facility		$655.04	$878.04	$1,447.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $655.04 / $1,124.00 / $1,789.00	Facility		$655.04	$1,124.00	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $731.75 / $1,263.52 / $5,012.24	Professional		$731.75	$1,263.52	$5,012.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $372.06 / $654.49 / $1,563.91	Professional		$372.06	$654.49	$1,563.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $655.04 / $878.04 / $1,447.66	Facility		$655.04	$878.04	$1,447.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,117.26 / $1,632.03 / $2,349.56	Professional		$1,117.26	$1,632.03	$2,349.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,132.09 / $3,132.09 / $3,132.09	Facility		$3,132.09	$3,132.09	$3,132.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,204.95 / $3,144.00 / $5,012.24	Professional		$1,204.95	$3,144.00	$5,012.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,182.02 / $2,182.02 / $2,182.02	Professional		$2,182.02	$2,182.02	$2,182.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,577.61 / $4,225.47 / $4,225.47	Professional		$2,577.61	$4,225.47	$4,225.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $732.65 / $1,319.70 / $2,766.72	Professional		$732.65	$1,319.70	$2,766.72