Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.47 / $1,299.83 / $14,482.00	Facility		$944.47	$1,299.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.88 / $988.36 / $2,870.96	Professional		$635.88	$988.36	$2,870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.02 / $1,219.45 / $3,205.82	Professional		$647.02	$1,219.45	$3,205.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,979.76 / $2,313.51 / $3,731.60	Facility		$1,979.76	$2,313.51	$3,731.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.24 / $1,529.15 / $3,394.90	Professional		$720.24	$1,529.15	$3,394.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $682.10 / $944.47 / $1,416.08	Facility		$682.10	$944.47	$1,416.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $693.24 / $1,228.53 / $8,384.00	Facility		$693.24	$1,228.53	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.86 / $1,583.97 / $5,516.40	Professional		$720.86	$1,583.97	$5,516.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $410.55 / $1,226.41	Professional		$62.75	$410.55	$1,226.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $675.52 / $944.47 / $1,501.50	Facility		$675.52	$944.47	$1,501.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,216.15 / $1,725.11 / $2,483.56	Professional		$1,216.15	$1,725.11	$2,483.56
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,156.62 / $5,156.62 / $5,156.62	Facility		$5,156.62	$5,156.62	$5,156.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,060.79 / $3,158.37 / $5,516.40	Professional		$1,060.79	$3,158.37	$5,516.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,140.67 / $6,122.26 / $7,216.17	Professional		$2,140.67	$6,122.26	$7,216.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $722.44 / $1,492.25 / $3,198.49	Professional		$722.44	$1,492.25	$3,198.49