Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.72 / $1,337.67 / $6,461.00	Facility		$628.72	$1,337.67	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.66 / $688.43 / $2,315.19	Professional		$547.66	$688.43	$2,315.19
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 $648.78 / $1,406.37 / $3,038.93	Professional		$648.78	$1,406.37	$3,038.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.64 / $2,016.55 / $3,252.63	Facility		$1,725.64	$2,016.55	$3,252.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.59 / $1,659.43 / $2,492.07	Professional		$779.59	$1,659.43	$2,492.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $594.52 / $785.72 / $1,336.66	Facility		$594.52	$785.72	$1,336.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $589.27 / $1,036.48 / $13,442.00	Facility		$589.27	$1,036.48	$13,442.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $726.27 / $2,169.42 / $4,462.35	Professional		$726.27	$2,169.42	$4,462.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $436.00 / $1,381.77	Professional		$63.27	$436.00	$1,381.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $594.52 / $785.72 / $1,336.66	Facility		$594.52	$785.72	$1,336.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,153.32 / $1,593.66 / $2,293.66	Professional		$1,153.32	$1,593.66	$2,293.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,856.56 / $4,856.56 / $4,856.56	Facility		$4,856.56	$4,856.56	$4,856.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $726.49 / $2,743.16 / $4,788.24	Professional		$726.49	$2,743.16	$4,788.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,697.45 / $3,117.53 / $3,897.66	Professional		$1,697.45	$3,117.53	$3,897.66
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.07 / $1,775.07 / $2,810.83	Professional		$714.07	$1,775.07	$2,810.83