Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.42 / $635.42 / $14,482.00	Facility		$635.42	$635.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.42 / $702.94 / $1,395.28	Professional		$635.42	$702.94	$1,395.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,033.66 / $2,346.21 / $6,192.41	Professional		$1,033.66	$2,346.21	$6,192.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,657.16 / $1,936.52 / $2,970.67	Facility		$1,657.16	$1,936.52	$2,970.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $698.25 / $2,422.79 / $2,753.18	Professional		$698.25	$2,422.79	$2,753.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $635.42 / $946.79 / $1,394.00	Facility		$635.42	$946.79	$1,394.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $656.77 / $1,143.77 / $15,090.00	Facility		$656.77	$1,143.77	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.51 / $1,441.72 / $8,195.52	Professional		$761.51	$1,441.72	$8,195.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $635.42 / $946.79 / $1,394.00	Facility		$635.42	$946.79	$1,394.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,020.80 / $2,597.73 / $3,704.80	Professional		$2,020.80	$2,597.73	$3,704.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,342.46 / $14,342.46 / $14,342.46	Facility		$14,342.46	$14,342.46	$14,342.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,609.08 / $4,609.08 / $8,195.52	Professional		$4,609.08	$4,609.08	$8,195.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,007.54 / $2,007.54 / $2,007.54	Professional		$2,007.54	$2,007.54	$2,007.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,430.98 / $4,047.17 / $4,047.17	Professional		$2,430.98	$4,047.17	$4,047.17
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $761.51 / $1,586.08 / $2,903.60	Professional		$761.51	$1,586.08	$2,903.60