Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.40 / $947.00 / $3,122.55	Facility		$345.40	$947.00	$3,122.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.40 / $868.45 / $1,713.55	Professional		$345.40	$868.45	$1,713.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.75 / $1,553.29 / $4,138.14	Professional		$609.75	$1,553.29	$4,138.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,372.65 / $2,772.63 / $4,472.14	Facility		$2,372.65	$2,772.63	$4,472.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.17 / $1,206.95 / $3,171.36	Professional		$552.17	$1,206.95	$3,171.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $345.40 / $735.00 / $1,674.18	Facility		$345.40	$735.00	$1,674.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $373.14 / $1,155.94 / $8,384.00	Facility		$373.14	$1,155.94	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $972.12 / $2,720.58 / $5,426.92	Professional		$972.12	$2,720.58	$5,426.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,025.93 / $2,146.87	Professional		$85.00	$1,025.93	$2,146.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $345.40 / $735.00 / $1,674.18	Facility		$345.40	$735.00	$1,674.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $784.67 / $1,413.59 / $3,001.86	Professional		$784.67	$1,413.59	$3,001.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,593.36 / $1,593.36 / $1,593.36	Facility		$1,593.36	$1,593.36	$1,593.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $520.64 / $3,328.38 / $7,358.63	Professional		$520.64	$3,328.38	$7,358.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,648.04 / $2,008.31 / $5,277.12	Professional		$1,648.04	$2,008.31	$5,277.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $972.12 / $3,026.83 / $4,736.66	Professional		$972.12	$3,026.83	$4,736.66