Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.49 / $1,064.57 / $14,482.00	Facility		$637.49	$1,064.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.48 / $637.49 / $1,678.87	Professional		$382.48	$637.49	$1,678.87
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 $472.18 / $1,355.48 / $3,079.30	Professional		$472.18	$1,355.48	$3,079.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,381.42 / $1,614.30 / $2,603.80	Facility		$1,381.42	$1,614.30	$2,603.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.98 / $1,604.24 / $2,183.30	Professional		$704.98	$1,604.24	$2,183.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.45 / $745.86 / $1,017.25	Facility		$520.45	$745.86	$1,017.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.77 / $5,266.00 / $15,126.00	Facility		$567.77	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $563.35 / $1,433.75 / $3,399.32	Professional		$563.35	$1,433.75	$3,399.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $420.08 / $1,066.78	Professional		$63.30	$420.08	$1,066.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $567.77 / $766.62 / $1,017.25	Facility		$567.77	$766.62	$1,017.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,011.40 / $1,556.00 / $1,860.26	Professional		$1,011.40	$1,556.00	$1,860.26
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 $729.60 / $2,395.10 / $6,832.27	Professional		$729.60	$2,395.10	$6,832.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.92 / $1,281.92 / $1,281.92	Professional		$1,281.92	$1,281.92	$1,281.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,187.31 / $3,130.86 / $3,130.86	Professional		$1,187.31	$3,130.86	$3,130.86
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 $511.75 / $1,433.96 / $2,141.21	Professional		$511.75	$1,433.96	$2,141.21