Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.04 / $580.04 / $14,482.00	Facility		$580.04	$580.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.04 / $878.63 / $1,082.51	Professional		$580.04	$878.63	$1,082.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.06 / $1,820.47 / $4,428.68	Professional		$949.06	$1,820.47	$4,428.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.21 / $1,041.45 / $1,679.82	Facility		$891.21	$1,041.45	$1,679.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,169.25 / $1,204.33 / $1,461.56	Professional		$1,169.25	$1,204.33	$1,461.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $580.04 / $972.45 / $1,555.92	Facility		$580.04	$972.45	$1,555.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $965.29 / $5,515.40 / $8,783.00	Facility		$965.29	$5,515.40	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,034.47 / $1,924.96 / $6,411.84	Professional		$1,034.47	$1,924.96	$6,411.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $972.45	Professional		$50.00	$65.00	$972.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $580.04 / $972.45 / $1,555.92	Facility		$580.04	$972.45	$1,555.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,049.14 / $1,933.27 / $2,685.10	Professional		$1,049.14	$1,933.27	$2,685.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,294.30 / $23,294.30 / $23,294.30	Facility		$23,294.30	$23,294.30	$23,294.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,605.99 / $6,411.84 / $6,411.84	Professional		$3,605.99	$6,411.84	$6,411.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,794.18 / $4,794.18 / $4,794.18	Professional		$4,794.18	$4,794.18	$4,794.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,040.96 / $9,773.12 / $9,773.12	Professional		$5,040.96	$9,773.12	$9,773.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.54 / $1,924.96 / $4,414.26	Professional		$954.54	$1,924.96	$4,414.26