Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.03 / $1,666.31 / $14,482.00	Facility		$1,000.03	$1,666.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.41 / $1,000.03 / $2,664.02	Professional		$602.41	$1,000.03	$2,664.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.59 / $2,131.30 / $4,827.57	Professional		$750.59	$2,131.30	$4,827.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,158.17 / $2,522.01 / $4,067.91	Facility		$2,158.17	$2,522.01	$4,067.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,103.46 / $2,518.80 / $3,397.36	Professional		$1,103.46	$2,518.80	$3,397.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $814.64 / $1,050.83 / $1,592.25	Facility		$814.64	$1,050.83	$1,592.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $887.05 / $5,266.00 / $15,126.00	Facility		$887.05	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $899.90 / $2,408.08 / $5,407.31	Professional		$899.90	$2,408.08	$5,407.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $508.67 / $1,581.62	Professional		$62.75	$508.67	$1,581.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $814.64 / $1,050.83 / $1,592.25	Facility		$814.64	$1,050.83	$1,592.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,587.95 / $2,443.00 / $2,962.49	Professional		$1,587.95	$2,443.00	$2,962.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,160.00 / $30,160.00 / $30,160.00	Facility		$30,160.00	$30,160.00	$30,160.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,145.53 / $3,809.90 / $6,087.44	Professional		$1,145.53	$3,809.90	$6,087.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,009.74 / $2,009.74 / $2,009.74	Professional		$2,009.74	$2,009.74	$2,009.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,853.61 / $4,915.68 / $4,915.68	Professional		$1,853.61	$4,915.68	$4,915.68
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.03 / $2,259.19 / $3,406.05	Professional		$870.03	$2,259.19	$3,406.05