Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.51 / $1,104.30 / $14,482.00	Facility		$652.51	$1,104.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.92 / $652.51 / $1,876.76	Professional		$421.92	$652.51	$1,876.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $11,777.00 / $19,639.00	Facility		$5,479.00	$11,777.00	$19,639.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $1,401.22 / $3,154.73	Professional		$528.64	$1,401.22	$3,154.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,390.43 / $1,624.83 / $2,620.79	Facility		$1,390.43	$1,624.83	$2,620.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.29 / $1,649.20 / $2,216.23	Professional		$731.29	$1,649.20	$2,216.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $539.88 / $740.10 / $1,055.22	Facility		$539.88	$740.10	$1,055.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $600.51 / $6,241.00 / $13,918.00	Facility		$600.51	$6,241.00	$13,918.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $628.27 / $1,733.92 / $3,730.93	Professional		$628.27	$1,733.92	$3,730.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $743.02 / $1,277.57	Professional		$85.00	$743.02	$1,277.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $539.88 / $740.10 / $1,055.22	Facility		$539.88	$740.10	$1,055.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,062.09 / $1,640.05 / $2,133.12	Professional		$1,062.09	$1,640.05	$2,133.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,759.35 / $13,759.35 / $13,759.35	Facility		$13,759.35	$13,759.35	$13,759.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $750.04 / $2,628.75 / $4,976.00	Professional		$750.04	$2,628.75	$4,976.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.42 / $1,307.42 / $1,307.42	Professional		$1,307.42	$1,307.42	$1,307.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,252.52 / $3,218.61 / $3,218.61	Professional		$1,252.52	$3,218.61	$3,218.61
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 $588.14 / $1,592.07 / $2,397.91	Professional		$588.14	$1,592.07	$2,397.91