Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.91 / $1,637.93 / $3,119.00	Facility		$469.91	$1,637.93	$3,119.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.45 / $469.91 / $1,274.23	Professional		$226.45	$469.91	$1,274.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,193.00 / $5,962.00	Facility		$1,905.00	$3,193.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.20 / $1,049.43 / $4,318.68	Professional		$288.20	$1,049.43	$4,318.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,214.05 / $2,587.29 / $3,968.98	Facility		$2,214.05	$2,587.29	$3,968.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.11 / $942.56 / $3,404.64	Professional		$373.11	$942.56	$3,404.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $232.16 / $618.77 / $1,389.65	Facility		$232.16	$618.77	$1,389.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $232.16 / $792.16 / $3,242.00	Facility		$232.16	$792.16	$3,242.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $807.32 / $2,351.16 / $6,034.32	Professional		$807.32	$2,351.16	$6,034.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,210.72 / $1,938.06	Professional		$85.00	$1,210.72	$1,938.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $232.16 / $618.77 / $1,389.65	Facility		$232.16	$618.77	$1,389.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $520.52 / $1,060.53 / $2,695.91	Professional		$520.52	$1,060.53	$2,695.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $395.91 / $1,352.15 / $1,352.15	Facility		$395.91	$1,352.15	$1,352.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $441.42 / $2,689.87 / $6,034.32	Professional		$441.42	$2,689.87	$6,034.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $867.07 / $2,107.44 / $4,157.03	Professional		$867.07	$2,107.44	$4,157.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $3,827.00 / $5,471.00	Facility		$2,976.00	$3,827.00	$5,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.53 / $1,320.19 / $3,428.82	Professional		$703.53	$1,320.19	$3,428.82