Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.36 / $2,181.76 / $14,482.00	Facility		$1,003.36	$2,181.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.66 / $955.47 / $2,181.76	Professional		$714.66	$955.47	$2,181.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.37 / $1,295.47 / $3,433.41	Professional		$653.37	$1,295.47	$3,433.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,575.16 / $1,840.70 / $2,968.98	Facility		$1,575.16	$1,840.70	$2,968.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $960.73 / $1,884.29 / $2,141.23	Professional		$960.73	$1,884.29	$2,141.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $639.83 / $914.72 / $1,290.21	Facility		$639.83	$914.72	$1,290.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.90 / $4,240.00 / $11,598.00	Facility		$652.90	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $747.92 / $1,416.34 / $4,493.22	Professional		$747.92	$1,416.34	$4,493.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $319.34 / $977.84	Professional		$58.42	$319.34	$977.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $639.83 / $890.19 / $1,290.21	Facility		$639.83	$890.19	$1,290.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,057.20 / $1,395.50 / $2,083.21	Professional		$1,057.20	$1,395.50	$2,083.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,519.10 / $4,493.22 / $4,493.22	Professional		$2,519.10	$4,493.22	$4,493.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,554.56 / $4,033.82 / $5,755.50	Professional		$2,554.56	$4,033.82	$5,755.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.93 / $1,416.34 / $3,133.81	Professional		$679.93	$1,416.34	$3,133.81