Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.60 / $1,104.68 / $14,482.00	Facility		$655.60	$1,104.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.24 / $655.60 / $1,879.69	Professional		$428.24	$655.60	$1,879.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.10 / $1,470.56 / $3,159.16	Professional		$515.10	$1,470.56	$3,159.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.67 / $1,664.84 / $2,685.33	Facility		$1,424.67	$1,664.84	$2,685.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.55 / $1,658.50 / $2,259.17	Professional		$731.55	$1,658.50	$2,259.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $490.97 / $721.14 / $1,055.58	Facility		$490.97	$721.14	$1,055.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $589.16 / $4,103.00 / $8,384.00	Facility		$589.16	$4,103.00	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $600.50 / $1,574.68 / $3,618.31	Professional		$600.50	$1,574.68	$3,618.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $432.43 / $1,135.95	Professional		$63.30	$432.43	$1,135.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $490.97 / $721.14 / $1,055.58	Facility		$490.97	$721.14	$1,055.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,050.40 / $1,621.98 / $2,079.10	Professional		$1,050.40	$1,621.98	$2,079.10
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 $754.27 / $2,549.40 / $3,999.92	Professional		$754.27	$2,549.40	$3,999.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.96 / $3,236.74 / $3,236.74	Professional		$1,252.96	$3,236.74	$3,236.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.41 / $1,564.31 / $2,279.16	Professional		$579.41	$1,564.31	$2,279.16