Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.62 / $1,415.57 / $14,482.00	Facility		$650.62	$1,415.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.54 / $650.62 / $2,422.98	Professional		$601.54	$650.62	$2,422.98
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 $661.81 / $1,806.79 / $3,831.45	Professional		$661.81	$1,806.79	$3,831.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,841.89 / $2,152.39 / $3,471.73	Facility		$1,841.89	$2,152.39	$3,471.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $937.41 / $2,011.01 / $2,896.27	Professional		$937.41	$2,011.01	$2,896.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $650.62 / $965.43 / $2,482.61	Facility		$650.62	$965.43	$2,482.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $692.05 / $2,482.61 / $8,384.00	Facility		$692.05	$2,482.61	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $775.44 / $1,646.58 / $4,378.77	Professional		$775.44	$1,646.58	$4,378.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.27 / $424.48 / $1,444.49	Professional		$63.27	$424.48	$1,444.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $650.62 / $965.43 / $2,482.61	Facility		$650.62	$965.43	$2,482.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,346.15 / $2,078.66 / $2,448.54	Professional		$1,346.15	$2,078.66	$2,448.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,909.30 / $7,909.30 / $7,909.30	Facility		$7,909.30	$7,909.30	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $974.67 / $3,293.15 / $5,167.68	Professional		$974.67	$3,293.15	$5,167.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,042.59 / $3,928.19 / $3,928.19	Professional		$2,042.59	$3,928.19	$3,928.19
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 $773.15 / $1,828.58 / $3,175.72	Professional		$773.15	$1,828.58	$3,175.72