Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.18 / $1,334.32 / $14,482.00	Facility		$260.18	$1,334.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $810.74 / $1,791.16	Professional		$223.84	$810.74	$1,791.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.13 / $1,300.48 / $5,234.24	Professional		$328.13	$1,300.48	$5,234.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,770.04 / $3,237.01 / $4,302.26	Facility		$2,770.04	$3,237.01	$4,302.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.74 / $787.27 / $3,632.31	Professional		$320.74	$787.27	$3,632.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $248.80 / $585.90 / $2,001.48	Facility		$248.80	$585.90	$2,001.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.12 / $1,099.00 / $2,090.40	Facility		$251.12	$1,099.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,108.67 / $3,810.26 / $7,510.32	Professional		$1,108.67	$3,810.26	$7,510.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $568.08 / $936.98 / $2,416.03	Professional		$568.08	$936.98	$2,416.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $250.09 / $585.90 / $2,085.94	Facility		$250.09	$585.90	$2,085.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.98 / $1,072.27 / $3,385.22	Professional		$478.98	$1,072.27	$3,385.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $528.58 / $1,449.60 / $8,734.00	Facility		$528.58	$1,449.60	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $3,810.26 / $7,510.32	Professional		$489.78	$3,810.26	$7,510.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $992.05 / $1,418.80 / $7,162.62	Professional		$992.05	$1,418.80	$7,162.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,533.00 / $2,202.90	Facility		$1,008.00	$1,533.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,108.67 / $3,174.20 / $5,361.48	Professional		$1,108.67	$3,174.20	$5,361.48