Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.61 / $233.61 / $14,482.00	Facility		$233.61	$233.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.61 / $353.84 / $534.92	Professional		$233.61	$353.84	$534.92
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 $361.00 / $552.15 / $1,107.18	Professional		$361.00	$552.15	$1,107.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.58 / $1,293.11 / $2,085.76	Facility		$1,106.58	$1,293.11	$2,085.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.13 / $666.01 / $756.83	Professional		$466.13	$666.01	$756.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $273.32 / $468.62 / $746.82	Facility		$273.32	$468.62	$746.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.52 / $7,301.00 / $15,702.00	Facility		$390.52	$7,301.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $390.52 / $825.15 / $2,836.88	Professional		$390.52	$825.15	$2,836.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $887.57	Professional		$50.00	$65.00	$887.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $273.32 / $468.62 / $746.82	Facility		$273.32	$468.62	$746.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $549.28 / $1,008.09 / $1,405.80	Professional		$549.28	$1,008.09	$1,405.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,878.45 / $13,878.45 / $13,878.45	Facility		$13,878.45	$13,878.45	$13,878.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,595.39 / $1,717.30 / $2,836.88	Professional		$1,595.39	$1,717.30	$2,836.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,925.15 / $1,925.15 / $1,925.15	Professional		$1,925.15	$1,925.15	$1,925.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,485.82 / $4,081.72 / $4,081.72	Professional		$2,485.82	$4,081.72	$4,081.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,733.00 / $14,978.00	Facility		$7,301.00	$11,733.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $358.10 / $794.93 / $1,680.44	Professional		$358.10	$794.93	$1,680.44