Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.73 / $1,505.03 / $14,482.00	Facility		$712.73	$1,505.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.31 / $744.38 / $3,338.07	Professional		$683.31	$744.38	$3,338.07
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 $699.91 / $1,435.24 / $4,186.30	Professional		$699.91	$1,435.24	$4,186.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,901.36 / $2,221.89 / $3,408.44	Facility		$1,901.36	$2,221.89	$3,408.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.38 / $2,914.02 / $3,311.39	Professional		$1,075.38	$2,914.02	$3,311.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $712.73 / $1,036.92 / $1,648.50	Facility		$712.73	$1,036.92	$1,648.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $712.73 / $1,482.30 / $11,598.00	Facility		$712.73	$1,482.30	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $799.55 / $1,529.36 / $6,320.43	Professional		$799.55	$1,529.36	$6,320.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $421.51 / $1,392.12	Professional		$66.47	$421.51	$1,392.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $712.73 / $1,031.32 / $1,648.50	Facility		$712.73	$1,031.32	$1,648.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,463.80 / $1,783.58 / $2,662.54	Professional		$1,463.80	$1,783.58	$2,662.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,144.65 / $26,144.65 / $26,144.65	Facility		$26,144.65	$26,144.65	$26,144.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,363.35 / $3,491.70 / $6,320.43	Professional		$1,363.35	$3,491.70	$6,320.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,354.19 / $2,354.19 / $2,354.19	Professional		$2,354.19	$2,354.19	$2,354.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,119.16 / $3,612.26 / $4,637.52	Professional		$2,119.16	$3,612.26	$4,637.52
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 $783.94 / $1,529.36 / $3,198.40	Professional		$783.94	$1,529.36	$3,198.40