Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.56 / $1,527.80 / $7,223.56	Facility		$462.56	$1,527.80	$7,223.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.57 / $672.19 / $2,570.88	Professional		$460.57	$672.19	$2,570.88
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 $675.46 / $1,565.05 / $3,410.89	Professional		$675.46	$1,565.05	$3,410.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,996.88 / $2,333.51 / $3,763.88	Facility		$1,996.88	$2,333.51	$3,763.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.43 / $1,618.63 / $2,457.11	Professional		$801.43	$1,618.63	$2,457.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $462.56 / $814.82 / $1,530.50	Facility		$462.56	$814.82	$1,530.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $541.20 / $1,329.62 / $8,292.34	Facility		$541.20	$1,329.62	$8,292.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $794.70 / $2,105.52 / $5,058.00	Professional		$794.70	$2,105.52	$5,058.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $488.63 / $1,536.62	Professional		$55.25	$488.63	$1,536.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $462.56 / $814.82 / $1,530.50	Facility		$462.56	$814.82	$1,530.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,144.81 / $1,697.58 / $2,500.21	Professional		$1,144.81	$1,697.58	$2,500.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,507.60 / $3,507.60 / $3,507.60	Facility		$3,507.60	$3,507.60	$3,507.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $695.79 / $3,165.03 / $5,714.48	Professional		$695.79	$3,165.03	$5,714.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,057.61 / $2,804.24 / $4,223.67	Professional		$2,057.61	$2,804.24	$4,223.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $7,280.00 / $9,134.00	Facility		$4,103.00	$7,280.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.89 / $1,798.41 / $3,199.24	Professional		$760.89	$1,798.41	$3,199.24