Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.83 / $961.00 / $14,482.00	Facility		$576.83	$961.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.48 / $576.83 / $1,501.63	Professional		$367.48	$576.83	$1,501.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.11 / $1,225.09 / $2,787.30	Professional		$423.11	$1,225.09	$2,787.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,251.66 / $1,462.66 / $2,359.21	Facility		$1,251.66	$1,462.66	$2,359.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.39 / $1,449.77 / $1,974.27	Professional		$636.39	$1,449.77	$1,974.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $469.82 / $674.89 / $1,146.05	Facility		$469.82	$674.89	$1,146.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $469.82 / $1,146.05 / $8,384.00	Facility		$469.82	$1,146.05	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $501.38 / $1,242.41 / $3,048.33	Professional		$501.38	$1,242.41	$3,048.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $282.38 / $966.61	Professional		$39.56	$282.38	$966.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $427.11 / $674.89 / $1,146.05	Facility		$427.11	$674.89	$1,146.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $910.65 / $1,401.00 / $1,661.83	Professional		$910.65	$1,401.00	$1,661.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $659.34 / $2,147.80 / $3,482.16	Professional		$659.34	$2,147.80	$3,482.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,021.30 / $2,829.39 / $2,829.39	Professional		$1,021.30	$2,829.39	$2,829.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $477.50 / $1,303.14 / $1,959.20	Professional		$477.50	$1,303.14	$1,959.20