Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.26 / $472.26 / $14,482.00	Facility		$472.26	$472.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.26 / $714.09 / $795.08	Professional		$472.26	$714.09	$795.08
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 $1,391.61 / $2,545.73 / $5,159.20	Professional		$1,391.61	$2,545.73	$5,159.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $472.26 / $799.91 / $1,180.65	Facility		$472.26	$799.91	$1,180.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $771.83 / $8,225.90 / $15,743.00	Facility		$771.83	$8,225.90	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $853.59 / $1,587.70 / $4,241.53	Professional		$853.59	$1,587.70	$4,241.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $472.26 / $799.91 / $1,180.65	Facility		$472.26	$799.91	$1,180.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,026.79 / $1,884.44 / $2,627.90	Professional		$1,026.79	$1,884.44	$2,627.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,269.48 / $4,307.30 / $4,307.30	Professional		$3,269.48	$4,307.30	$4,307.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,286.29 / $3,286.29 / $3,286.29	Professional		$3,286.29	$3,286.29	$3,286.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,699.23 / $6,699.23 / $6,699.23	Professional		$6,699.23	$6,699.23	$6,699.23
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 $835.00 / $1,590.48 / $3,496.19	Professional		$835.00	$1,590.48	$3,496.19