Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.65 / $1,410.34 / $14,482.00	Facility		$667.65	$1,410.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.65 / $697.39 / $3,120.00	Professional		$639.65	$697.39	$3,120.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,057.00 / $7,774.00 / $12,204.00	Facility		$5,057.00	$7,774.00	$12,204.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.48 / $1,540.73 / $3,919.55	Professional		$652.48	$1,540.73	$3,919.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,781.51 / $2,081.84 / $3,193.60	Facility		$1,781.51	$2,081.84	$3,193.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.85 / $2,728.87 / $3,100.99	Professional		$1,088.85	$2,728.87	$3,100.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $667.65 / $940.23 / $1,475.51	Facility		$667.65	$940.23	$1,475.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $667.65 / $1,347.66 / $8,384.00	Facility		$667.65	$1,347.66	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $775.75 / $1,445.91 / $5,361.75	Professional		$775.75	$1,445.91	$5,361.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $401.29 / $1,321.93	Professional		$66.47	$401.29	$1,321.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $667.65 / $934.71 / $1,475.51	Facility		$667.65	$934.71	$1,475.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,370.20 / $1,669.54 / $2,492.29	Professional		$1,370.20	$1,669.54	$2,492.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,132.00 / $17,132.00	Facility		$17,132.00	$17,132.00	$17,132.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,276.73 / $3,263.60 / $5,361.75	Professional		$1,276.73	$3,263.60	$5,361.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,204.21 / $2,204.21 / $2,204.21	Professional		$2,204.21	$2,204.21	$2,204.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,969.57 / $3,379.58 / $4,342.83	Professional		$1,969.57	$3,379.58	$4,342.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $749.54 / $1,389.42 / $3,131.95	Professional		$749.54	$1,389.42	$3,131.95