Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.60 / $478.60 / $14,482.00	Facility		$478.60	$478.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.60 / $737.59 / $4,080.00	Professional		$478.60	$737.59	$4,080.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.88 / $1,494.68 / $3,553.96	Professional		$733.88	$1,494.68	$3,553.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,214.05 / $2,587.29 / $4,173.21	Facility		$2,214.05	$2,587.29	$4,173.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.63 / $1,332.00 / $1,513.64	Professional		$932.63	$1,332.00	$1,513.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $540.41 / $800.25 / $1,210.59	Facility		$540.41	$800.25	$1,210.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $781.03 / $7,590.00 / $15,702.00	Facility		$781.03	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $781.03 / $1,503.34 / $5,261.69	Professional		$781.03	$1,503.34	$5,261.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $2,525.21	Professional		$50.00	$65.00	$2,525.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $540.41 / $800.25 / $1,210.59	Facility		$540.41	$800.25	$1,210.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,025.50 / $1,882.08 / $2,624.60	Professional		$1,025.50	$1,882.08	$2,624.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,109.65 / $22,109.65 / $22,109.65	Facility		$22,109.65	$22,109.65	$22,109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,266.55 / $5,808.40 / $5,808.40	Professional		$3,266.55	$5,808.40	$5,808.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,850.25 / $3,850.25 / $3,850.25	Professional		$3,850.25	$3,850.25	$3,850.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,260.85 / $8,163.33 / $8,163.33	Professional		$4,260.85	$8,163.33	$8,163.33
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 $781.03 / $1,503.34 / $3,302.43	Professional		$781.03	$1,503.34	$3,302.43