Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.55 / $885.96 / $6,461.00	Facility		$471.55	$885.96	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.51 / $568.41 / $1,001.82	Professional		$400.51	$568.41	$1,001.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.66 / $1,168.93 / $3,131.62	Professional		$557.66	$1,168.93	$3,131.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,570.65 / $1,835.43 / $2,815.60	Facility		$1,570.65	$1,835.43	$2,815.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.48 / $887.52 / $2,148.54	Professional		$509.48	$887.52	$2,148.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $471.55 / $716.01 / $1,602.24	Facility		$471.55	$716.01	$1,602.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $472.51 / $1,022.72 / $4,821.00	Facility		$472.51	$1,022.72	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $596.55 / $1,110.67 / $3,455.80	Professional		$596.55	$1,110.67	$3,455.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $349.40 / $1,109.19	Professional		$31.53	$349.40	$1,109.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $471.55 / $716.01 / $1,602.24	Facility		$471.55	$716.01	$1,602.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $946.65 / $1,383.13 / $1,994.33	Professional		$946.65	$1,383.13	$1,994.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $830.83 / $1,110.40 / $3,023.40	Facility		$830.83	$1,110.40	$3,023.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $598.24 / $2,043.40 / $4,369.43	Professional		$598.24	$2,043.40	$4,369.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,585.12 / $2,156.42 / $2,981.11	Professional		$1,585.12	$2,156.42	$2,981.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,883.00 / $3,827.00 / $6,564.00	Facility		$2,883.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.83 / $875.79 / $2,466.44	Professional		$573.83	$875.79	$2,466.44