Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.42 / $1,535.96 / $8,041.80	Facility		$832.42	$1,535.96	$8,041.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.67 / $832.42 / $1,969.67	Professional		$533.67	$832.42	$1,969.67
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 $526.85 / $1,074.77 / $2,592.07	Professional		$526.85	$1,074.77	$2,592.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,019.41 / $2,359.84 / $3,806.34	Facility		$2,019.41	$2,359.84	$3,806.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.71 / $1,500.32 / $2,727.34	Professional		$665.71	$1,500.32	$2,727.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $533.67 / $832.42 / $1,364.52	Facility		$533.67	$832.42	$1,364.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $576.02 / $1,092.24 / $8,384.00	Facility		$576.02	$1,092.24	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.24 / $1,604.46 / $5,589.52	Professional		$744.24	$1,604.46	$5,589.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $400.59 / $1,221.97	Professional		$62.75	$400.59	$1,221.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $533.67 / $819.18 / $1,445.32	Facility		$533.67	$819.18	$1,445.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,073.80 / $1,704.57 / $2,390.78	Professional		$1,073.80	$1,704.57	$2,390.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,903.00 / $3,903.00 / $3,903.00	Facility		$3,903.00	$3,903.00	$3,903.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $936.88 / $3,208.64 / $5,589.52	Professional		$936.88	$3,208.64	$5,589.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,174.73 / $5,405.04 / $7,330.93	Professional		$2,174.73	$5,405.04	$7,330.93
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 $746.64 / $1,456.46 / $3,210.75	Professional		$746.64	$1,456.46	$3,210.75