Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.58 / $1,361.93 / $14,482.00	Facility		$323.58	$1,361.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.17 / $1,162.66 / $1,815.28	Professional		$275.17	$1,162.66	$1,815.28
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 $377.69 / $1,444.88 / $5,349.74	Professional		$377.69	$1,444.88	$5,349.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,823.21 / $3,299.14 / $4,384.83	Facility		$2,823.21	$3,299.14	$4,384.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.56 / $981.65 / $3,712.43	Professional		$370.56	$981.65	$3,712.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $303.62 / $731.68 / $2,113.17	Facility		$303.62	$731.68	$2,113.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.26 / $1,124.82 / $2,128.35	Facility		$304.26	$1,124.82	$2,128.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,175.44 / $3,982.07 / $7,706.96	Professional		$1,175.44	$3,982.07	$7,706.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $569.56 / $938.92 / $2,412.92	Professional		$569.56	$938.92	$2,412.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $304.26 / $731.68 / $2,128.35	Facility		$304.26	$731.68	$2,128.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $611.69 / $1,259.14 / $3,491.97	Professional		$611.69	$1,259.14	$3,491.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $1,842.54 / $8,734.00	Facility		$659.12	$1,842.54	$8,734.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $559.98 / $3,982.07 / $7,706.96	Professional		$559.98	$3,982.07	$7,706.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,241.30 / $1,770.62 / $7,320.66	Professional		$1,241.30	$1,770.62	$7,320.66
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 $1,175.44 / $2,610.34 / $4,966.60	Professional		$1,175.44	$2,610.34	$4,966.60