Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.27 / $2,550.96 / $14,482.00	Facility		$766.27	$2,550.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.01 / $766.27 / $2,332.91	Professional		$647.01	$766.27	$2,332.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.86 / $1,571.84 / $4,085.98	Professional		$673.86	$1,571.84	$4,085.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,809.45 / $2,114.48 / $3,243.67	Facility		$1,809.45	$2,114.48	$3,243.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.25 / $2,381.21 / $2,859.24	Professional		$771.25	$2,381.21	$2,859.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $531.73 / $814.27 / $1,456.00	Facility		$531.73	$814.27	$1,456.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $594.53 / $943.40 / $7,160.00	Facility		$594.53	$943.40	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.70 / $1,567.51 / $5,181.28	Professional		$707.70	$1,567.51	$5,181.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $588.21 / $1,465.17	Professional		$65.50	$588.21	$1,465.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $540.73 / $814.27 / $1,456.00	Facility		$540.73	$814.27	$1,456.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,264.20 / $1,686.02 / $2,892.54	Professional		$1,264.20	$1,686.02	$2,892.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $788.09 / $7,929.30 / $7,929.30	Facility		$788.09	$7,929.30	$7,929.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,110.63 / $3,379.70 / $5,181.28	Professional		$1,110.63	$3,379.70	$5,181.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,312.41 / $3,491.12 / $3,491.12	Professional		$2,312.41	$3,491.12	$3,491.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,280.00 / $8,384.00	Facility		$4,918.00	$7,280.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.84 / $1,344.58 / $3,086.41	Professional		$673.84	$1,344.58	$3,086.41