Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.77 / $8,243.00 / $14,482.00	Facility		$288.77	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $472.60 / $799.92	Professional		$288.77	$472.60	$799.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.27 / $1,156.72 / $2,971.60	Professional		$444.27	$1,156.72	$2,971.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,257.96 / $1,470.03 / $2,371.11	Facility		$1,257.96	$1,470.03	$2,371.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.77 / $672.94 / $861.30	Professional		$545.77	$672.94	$861.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $288.77 / $488.87 / $955.52	Facility		$288.77	$488.87	$955.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $488.87 / $19,622.59 / $34,485.00	Facility		$488.87	$19,622.59	$34,485.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $568.49 / $1,555.84 / $2,660.90	Professional		$568.49	$1,555.84	$2,660.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,781.64	Professional		$50.00	$58.40	$1,781.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $288.77 / $488.87 / $955.52	Facility		$288.77	$488.87	$955.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $669.20 / $1,228.16 / $1,712.70	Professional		$669.20	$1,228.16	$1,712.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87,953.00 / $87,953.00 / $87,953.00	Facility		$87,953.00	$87,953.00	$87,953.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,130.89 / $3,788.88 / $3,788.88	Professional		$2,130.89	$3,788.88	$3,788.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,411.23 / $2,411.23 / $2,411.23	Professional		$2,411.23	$2,411.23	$2,411.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,924.16 / $3,351.00 / $3,351.00	Professional		$2,924.16	$3,351.00	$3,351.00
United Facility/Professional Facility Modifier Low / Median / High Price $13,528.00 / $21,823.00 / $27,528.00	Facility		$13,528.00	$21,823.00	$27,528.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.67 / $1,443.23 / $2,323.53	Professional		$563.67	$1,443.23	$2,323.53