Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.47 / $1,378.46 / $14,482.00	Facility		$835.47	$1,378.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.26 / $835.47 / $2,190.44	Professional		$497.26	$835.47	$2,190.44
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 $618.41 / $1,774.42 / $4,042.39	Professional		$618.41	$1,774.42	$4,042.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,813.05 / $2,118.69 / $3,417.38	Facility		$1,813.05	$2,118.69	$3,417.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.84 / $2,098.66 / $2,834.71	Professional		$912.84	$2,098.66	$2,834.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $673.92 / $977.50 / $1,317.20	Facility		$673.92	$977.50	$1,317.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $735.18 / $5,266.00 / $15,126.00	Facility		$735.18	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $723.89 / $1,809.53 / $4,379.54	Professional		$723.89	$1,809.53	$4,379.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $426.19 / $1,339.52	Professional		$62.75	$426.19	$1,339.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $735.18 / $1,001.97 / $1,317.20	Facility		$735.18	$1,001.97	$1,317.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,305.84 / $2,009.00 / $2,398.98	Professional		$1,305.84	$2,009.00	$2,398.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.44 / $3,085.75 / $6,691.93	Professional		$954.44	$3,085.75	$6,691.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,682.86 / $1,682.86 / $1,682.86	Professional		$1,682.86	$1,682.86	$1,682.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.07 / $4,095.72 / $4,095.72	Professional		$1,532.07	$4,095.72	$4,095.72
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 $666.28 / $1,878.05 / $2,758.66	Professional		$666.28	$1,878.05	$2,758.66