Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.54 / $1,026.52 / $14,482.00	Facility		$645.54	$1,026.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.91 / $645.54 / $1,829.48	Professional		$371.91	$645.54	$1,829.48
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 $509.28 / $1,238.26 / $3,084.78	Professional		$509.28	$1,238.26	$3,084.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,303.02 / $1,522.68 / $2,456.03	Facility		$1,303.02	$1,522.68	$2,456.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.12 / $1,566.64 / $2,063.15	Professional		$937.12	$1,566.64	$2,063.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $501.85 / $712.99 / $997.04	Facility		$501.85	$712.99	$997.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.78 / $2,683.00 / $4,955.00	Facility		$575.78	$2,683.00	$4,955.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $609.52 / $1,695.01 / $2,876.38	Professional		$609.52	$1,695.01	$2,876.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $507.64 / $1,139.45	Professional		$68.40	$507.64	$1,139.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $501.85 / $712.99 / $997.04	Facility		$501.85	$712.99	$997.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,025.70 / $1,583.84 / $2,106.27	Professional		$1,025.70	$1,583.84	$2,106.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,011.04 / $9,011.04 / $9,011.04	Facility		$9,011.04	$9,011.04	$9,011.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $975.04 / $2,534.40 / $3,835.20	Professional		$975.04	$2,534.40	$3,835.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,330.88 / $3,510.62 / $3,510.62	Professional		$2,330.88	$3,510.62	$3,510.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.52 / $1,663.24 / $2,511.69	Professional		$609.52	$1,663.24	$2,511.69