Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.53 / $1,122.26 / $14,482.00	Facility		$515.53	$1,122.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.17 / $515.53 / $1,920.53	Professional		$478.17	$515.53	$1,920.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.55 / $1,436.13 / $3,033.14	Professional		$524.55	$1,436.13	$3,033.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,464.32 / $1,711.17 / $2,760.06	Facility		$1,464.32	$1,711.17	$2,760.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.18 / $1,595.34 / $2,300.69	Professional		$743.18	$1,595.34	$2,300.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $515.53 / $734.38 / $1,575.00	Facility		$515.53	$734.38	$1,575.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $539.36 / $5,266.00 / $14,978.00	Facility		$539.36	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $612.48 / $1,302.65 / $3,464.16	Professional		$612.48	$1,302.65	$3,464.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.93 / $340.99 / $1,121.43	Professional		$40.93	$340.99	$1,121.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $515.53 / $750.00 / $1,575.00	Facility		$515.53	$750.00	$1,575.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,066.00 / $1,646.07 / $1,938.97	Professional		$1,066.00	$1,646.07	$1,938.97
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 $773.20 / $2,605.30 / $4,641.26	Professional		$773.20	$2,605.30	$4,641.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,714.31 / $3,116.26 / $3,116.26	Professional		$1,714.31	$3,116.26	$3,116.26
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.54 / $1,358.21 / $2,523.96	Professional		$609.54	$1,358.21	$2,523.96