Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.51 / $1,742.13 / $5,927.54	Facility		$386.51	$1,742.13	$5,927.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.51 / $1,652.64 / $2,853.90	Professional		$386.51	$1,652.64	$2,853.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.76 / $2,486.96 / $8,610.04	Professional		$715.76	$2,486.96	$8,610.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,529.03 / $5,292.53 / $8,536.66	Facility		$4,529.03	$5,292.53	$8,536.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.91 / $1,927.18 / $5,988.81	Professional		$626.91	$1,927.18	$5,988.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $386.51 / $777.93 / $2,504.87	Facility		$386.51	$777.93	$2,504.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $422.06 / $2,504.87 / $8,783.00	Facility		$422.06	$2,504.87	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,989.57 / $5,859.38 / $10,669.76	Professional		$1,989.57	$5,859.38	$10,669.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $1,028.78 / $3,209.55	Professional		$92.86	$1,028.78	$3,209.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $386.51 / $777.93 / $2,504.87	Facility		$386.51	$777.93	$2,504.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $840.29 / $1,774.15 / $5,445.20	Professional		$840.29	$1,774.15	$5,445.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,692.86 / $2,692.86 / $2,692.86	Facility		$2,692.86	$2,692.86	$2,692.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $534.89 / $3,152.42 / $12,238.56	Professional		$534.89	$3,152.42	$12,238.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,001.81 / $2,269.64 / $9,965.25	Professional		$2,001.81	$2,269.64	$9,965.25
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 $1,847.07 / $4,310.68 / $8,303.81	Professional		$1,847.07	$4,310.68	$8,303.81