Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.95 / $1,564.38 / $14,482.00	Facility		$961.95	$1,564.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.01 / $961.95 / $2,679.62	Professional		$527.01	$961.95	$2,679.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $757.75 / $1,865.73 / $4,643.43	Professional		$757.75	$1,865.73	$4,643.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,956.33 / $2,286.13 / $3,687.44	Facility		$1,956.33	$2,286.13	$3,687.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.03 / $2,354.96 / $3,143.64	Professional		$1,321.03	$2,354.96	$3,143.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $764.81 / $1,201.16 / $1,673.84	Facility		$764.81	$1,201.16	$1,673.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $878.15 / $2,803.00 / $7,868.00	Facility		$878.15	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $903.48 / $2,281.29 / $4,237.35	Professional		$903.48	$2,281.29	$4,237.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $661.16 / $1,751.36	Professional		$57.73	$661.16	$1,751.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $764.81 / $1,201.16 / $1,673.84	Facility		$764.81	$1,201.16	$1,673.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,564.55 / $2,415.91 / $3,166.13	Professional		$1,564.55	$2,415.91	$3,166.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,728.96 / $14,728.96 / $14,728.96	Facility		$14,728.96	$14,728.96	$14,728.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,351.83 / $3,764.50 / $8,437.29	Professional		$1,351.83	$3,764.50	$8,437.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,951.74 / $3,951.74 / $3,951.74	Professional		$3,951.74	$3,951.74	$3,951.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,513.76 / $5,277.10 / $5,277.10	Professional		$3,513.76	$5,277.10	$5,277.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $906.17 / $2,497.01 / $3,350.41	Professional		$906.17	$2,497.01	$3,350.41