Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.82 / $8,243.00 / $14,482.00	Facility		$482.82	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.67 / $482.82 / $1,034.74	Professional		$392.67	$482.82	$1,034.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.42 / $1,436.27 / $3,858.27	Professional		$814.42	$1,436.27	$3,858.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,294.25 / $2,681.01 / $4,324.38	Facility		$2,294.25	$2,681.01	$4,324.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.38 / $1,227.30 / $1,574.41	Professional		$966.38	$1,227.30	$1,574.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $482.82 / $893.63 / $1,746.64	Facility		$482.82	$893.63	$1,746.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $893.63 / $7,555.00 / $13,918.00	Facility		$893.63	$7,555.00	$13,918.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.58 / $1,072.95 / $1,926.05	Professional		$405.58	$1,072.95	$1,926.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,228.65	Professional		$50.00	$58.40	$1,228.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $482.82 / $893.63 / $1,746.64	Facility		$482.82	$893.63	$1,746.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $679.71 / $1,588.64 / $2,215.40	Professional		$679.71	$1,588.64	$2,215.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,253.75 / $13,253.75 / $13,253.75	Facility		$13,253.75	$13,253.75	$13,253.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,030.35 / $5,388.16 / $5,388.16	Professional		$3,030.35	$5,388.16	$5,388.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,407.59 / $4,407.59 / $4,407.59	Professional		$4,407.59	$4,407.59	$4,407.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,345.17 / $6,125.42 / $6,125.42	Professional		$5,345.17	$6,125.42	$6,125.42
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.62 / $1,163.36 / $1,835.29	Professional		$429.62	$1,163.36	$1,835.29