Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.62 / $1,706.05 / $14,482.00	Facility		$712.62	$1,706.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.12 / $712.62 / $1,706.05	Professional		$397.12	$712.62	$1,706.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.31 / $920.09 / $2,161.10	Professional		$395.31	$920.09	$2,161.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,264.27 / $1,477.40 / $2,383.00	Facility		$1,264.27	$1,477.40	$2,383.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.29 / $1,137.68 / $1,704.34	Professional		$536.29	$1,137.68	$1,704.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $437.01 / $622.54 / $855.14	Facility		$437.01	$622.54	$855.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $448.39 / $1,100.00 / $2,090.40	Facility		$448.39	$1,100.00	$2,090.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $425.45 / $852.21 / $3,487.04	Professional		$425.45	$852.21	$3,487.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $254.99 / $737.26	Professional		$30.56	$254.99	$737.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $425.45 / $622.54 / $958.77	Facility		$425.45	$622.54	$958.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $825.60 / $1,089.79 / $1,546.90	Professional		$825.60	$1,089.79	$1,546.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $773.05 / $2,088.75 / $3,487.04	Professional		$773.05	$2,088.75	$3,487.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $845.55 / $2,901.86 / $4,581.22	Professional		$845.55	$2,901.86	$4,581.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,590.00 / $2,202.90	Facility		$1,034.00	$1,590.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $439.57 / $729.55 / $1,830.79	Professional		$439.57	$729.55	$1,830.79