Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $8,243.00 / $14,482.00	Facility		$203.13	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $332.46 / $562.57	Professional		$203.13	$332.46	$562.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.51 / $638.84 / $2,139.44	Professional		$312.51	$638.84	$2,139.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $890.31 / $1,040.39 / $1,678.12	Facility		$890.31	$1,040.39	$1,678.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.25 / $476.25 / $609.23	Professional		$386.25	$476.25	$609.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $345.80 / $675.87	Facility		$203.13	$345.80	$675.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.80 / $12,365.00 / $22,691.00	Facility		$345.80	$12,365.00	$22,691.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $371.86 / $1,016.74 / $1,738.97	Professional		$371.86	$1,016.74	$1,738.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,164.29	Professional		$50.00	$58.40	$1,164.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $345.80 / $675.87	Facility		$203.13	$345.80	$675.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $470.63 / $863.74 / $1,204.50	Professional		$470.63	$863.74	$1,204.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,872.44 / $41,872.44 / $41,872.44	Facility		$41,872.44	$41,872.44	$41,872.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,499.04 / $2,665.20 / $2,665.20	Professional		$1,499.04	$2,665.20	$2,665.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.55 / $1,705.55 / $1,705.55	Professional		$1,705.55	$1,705.55	$1,705.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,068.35 / $2,370.27 / $2,370.27	Professional		$2,068.35	$2,370.27	$2,370.27
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.34 / $1,016.74 / $1,468.18	Professional		$360.34	$1,016.74	$1,468.18