Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.42 / $2,378.17 / $14,482.00	Facility		$965.42	$2,378.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $619.65 / $965.42 / $3,136.95	Professional		$619.65	$965.42	$3,136.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.02 / $1,246.49 / $3,004.80	Professional		$611.02	$1,246.49	$3,004.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.52 / $1,996.54 / $3,220.36	Facility		$1,708.52	$1,996.54	$3,220.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.42 / $1,567.50 / $2,330.42	Professional		$761.42	$1,567.50	$2,330.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $593.05 / $888.38 / $1,321.37	Facility		$593.05	$888.38	$1,321.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $672.20 / $4,240.00 / $11,598.00	Facility		$672.20	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $626.72 / $1,305.47 / $4,808.32	Professional		$626.72	$1,305.47	$4,808.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $349.15 / $1,061.46	Professional		$62.75	$349.15	$1,061.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $593.05 / $888.38 / $1,700.96	Facility		$593.05	$888.38	$1,700.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,152.59 / $1,521.43 / $2,159.59	Professional		$1,152.59	$1,521.43	$2,159.59
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 $1,066.20 / $3,136.95 / $4,808.32	Professional		$1,066.20	$3,136.95	$4,808.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,486.96 / $3,885.57 / $6,263.99	Professional		$2,486.96	$3,885.57	$6,263.99
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 $626.72 / $1,266.06 / $2,749.54	Professional		$626.72	$1,266.06	$2,749.54