Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,274.22 / $8,243.00	Facility		$562.34	$1,274.22	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.83 / $653.57 / $2,152.94	Professional		$485.83	$653.57	$2,152.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.21 / $1,310.84 / $2,801.06	Professional		$611.21	$1,310.84	$2,801.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,627.42 / $1,901.77 / $3,067.49	Facility		$1,627.42	$1,901.77	$3,067.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.57 / $1,478.70 / $2,237.64	Professional		$731.57	$1,478.70	$2,237.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $550.95 / $749.42 / $1,217.58	Facility		$550.95	$749.42	$1,217.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.49 / $13,442.00	Facility		$562.34	$954.49	$13,442.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $713.90 / $2,098.15 / $4,315.75	Professional		$713.90	$2,098.15	$4,315.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $410.80 / $1,302.42	Professional		$63.27	$410.80	$1,302.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $550.95 / $749.42 / $1,217.58	Facility		$550.95	$749.42	$1,217.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,025.08 / $1,486.42 / $2,181.34	Professional		$1,025.08	$1,486.42	$2,181.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,253.62 / $3,253.62 / $3,253.62	Facility		$3,253.62	$3,253.62	$3,253.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $648.92 / $2,599.19 / $4,551.12	Professional		$648.92	$2,599.19	$4,551.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.25 / $2,784.73 / $3,693.17	Professional		$1,445.25	$2,784.73	$3,693.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.11 / $1,604.74 / $2,718.48	Professional		$673.11	$1,604.74	$2,718.48