Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.51 / $1,510.61 / $6,461.00	Facility		$408.51	$1,510.61	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $834.96 / $2,131.48	Professional		$316.83	$834.96	$2,131.48
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 $494.68 / $955.72 / $2,121.94	Professional		$494.68	$955.72	$2,121.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,700.66 / $3,155.93 / $5,090.39	Facility		$2,700.66	$3,155.93	$5,090.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.12 / $1,459.90 / $3,503.38	Professional		$687.12	$1,459.90	$3,503.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $345.40 / $809.93 / $1,812.84	Facility		$345.40	$809.93	$1,812.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.40 / $1,410.38 / $6,150.00	Facility		$345.40	$1,410.38	$6,150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $882.22 / $3,086.96 / $6,405.35	Professional		$882.22	$3,086.96	$6,405.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $589.75 / $1,864.02	Professional		$70.00	$589.75	$1,864.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $273.00 / $809.93 / $1,812.84	Facility		$273.00	$809.93	$1,812.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $943.44 / $1,744.98 / $3,392.02	Professional		$943.44	$1,744.98	$3,392.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,934.06 / $2,934.06 / $2,934.06	Facility		$2,934.06	$2,934.06	$2,934.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $584.27 / $3,709.00 / $7,315.60	Professional		$584.27	$3,709.00	$7,315.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $836.58 / $2,507.25 / $6,016.73	Professional		$836.58	$2,507.25	$6,016.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.65 / $2,723.29 / $4,116.80	Professional		$917.65	$2,723.29	$4,116.80