Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.55 / $981.07 / $14,482.00	Facility		$588.55	$981.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.01 / $588.55 / $1,533.40	Professional		$349.01	$588.55	$1,533.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $429.95 / $1,247.44 / $2,840.76	Professional		$429.95	$1,247.44	$2,840.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,278.69 / $1,494.25 / $2,410.17	Facility		$1,278.69	$1,494.25	$2,410.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $649.67 / $1,480.53 / $2,017.22	Professional		$649.67	$1,480.53	$2,017.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $479.63 / $688.62 / $1,051.90	Facility		$479.63	$688.62	$1,051.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.24 / $4,103.00 / $8,783.00	Facility		$523.24	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $511.53 / $1,254.49 / $3,101.27	Professional		$511.53	$1,254.49	$3,101.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $282.38 / $966.61	Professional		$39.56	$282.38	$966.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $523.24 / $706.14 / $1,051.90	Facility		$523.24	$706.14	$1,051.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $929.50 / $1,430.00 / $1,690.69	Professional		$929.50	$1,430.00	$1,690.69
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 $673.33 / $2,185.10 / $3,553.68	Professional		$673.33	$2,185.10	$3,553.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.63 / $1,182.63 / $1,182.63	Professional		$1,182.63	$1,182.63	$1,182.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.39 / $2,889.38 / $2,889.38	Professional		$1,076.39	$2,889.38	$2,889.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $473.39 / $1,329.63 / $1,953.48	Professional		$473.39	$1,329.63	$1,953.48