Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.55 / $1,175.84 / $6,461.00	Facility		$404.55	$1,175.84	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.21 / $685.12 / $1,618.85	Professional		$346.21	$685.12	$1,618.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.14 / $1,382.87 / $4,180.54	Professional		$587.14	$1,382.87	$4,180.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,168.09 / $2,533.59 / $4,086.59	Facility		$2,168.09	$2,533.59	$4,086.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.04 / $1,352.52 / $2,957.42	Professional		$604.04	$1,352.52	$2,957.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $322.55 / $630.44 / $1,546.90	Facility		$322.55	$630.44	$1,546.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $351.88 / $1,439.03 / $11,598.00	Facility		$351.88	$1,439.03	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $980.16 / $2,989.83 / $4,949.92	Professional		$980.16	$2,989.83	$4,949.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $641.68 / $1,717.92	Professional		$85.00	$641.68	$1,717.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $322.55 / $630.44 / $1,546.90	Facility		$322.55	$630.44	$1,546.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.31 / $1,398.26 / $2,702.73	Professional		$772.31	$1,398.26	$2,702.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $1,925.00 / $1,925.00	Facility		$1,925.00	$1,925.00	$1,925.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $618.34 / $3,430.80 / $6,364.00	Professional		$618.34	$3,430.80	$6,364.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,631.87 / $2,226.34 / $5,654.62	Professional		$1,631.87	$2,226.34	$5,654.62
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.16 / $2,543.71 / $4,148.87	Professional		$980.16	$2,543.71	$4,148.87