Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.35 / $1,005.30 / $14,482.00	Facility		$625.35	$1,005.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.26 / $625.35 / $2,271.00	Professional		$469.26	$625.35	$2,271.00
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 $492.41 / $1,216.19 / $3,023.90	Professional		$492.41	$1,216.19	$3,023.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,263.36 / $1,476.35 / $2,381.30	Facility		$1,263.36	$1,476.35	$2,381.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.91 / $1,515.21 / $2,025.74	Professional		$848.91	$1,515.21	$2,025.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $491.48 / $777.24 / $1,511.91	Facility		$491.48	$777.24	$1,511.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $559.04 / $11,645.00 / $28,884.00	Facility		$559.04	$11,645.00	$28,884.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $589.32 / $1,488.03 / $2,895.62	Professional		$589.32	$1,488.03	$2,895.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $563.31 / $1,185.29	Professional		$76.54	$563.31	$1,185.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $491.48 / $777.24 / $1,511.91	Facility		$491.48	$777.24	$1,511.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $994.50 / $1,535.66 / $2,037.12	Professional		$994.50	$1,535.66	$2,037.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43,616.05 / $43,616.05 / $43,616.05	Facility		$43,616.05	$43,616.05	$43,616.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $869.79 / $2,455.50 / $7,286.89	Professional		$869.79	$2,455.50	$7,286.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.43 / $3,395.34 / $3,395.34	Professional		$1,847.43	$3,395.34	$3,395.34
United Facility/Professional Facility Modifier Low / Median / High Price $9,662.00 / $20,245.00 / $33,255.00	Facility		$9,662.00	$20,245.00	$33,255.00
United Facility/Professional Professional Modifier Low / Median / High Price $589.09 / $1,495.40 / $2,405.10	Professional		$589.09	$1,495.40	$2,405.10