Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.85 / $726.71 / $14,482.00	Facility		$464.85	$726.71	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.29 / $464.85 / $1,295.58	Professional		$260.29	$464.85	$1,295.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $832.57 / $2,181.42	Professional		$361.56	$832.57	$2,181.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.54 / $1,069.88 / $1,725.68	Facility		$915.54	$1,069.88	$1,725.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.65 / $1,097.33 / $1,466.07	Professional		$613.65	$1,097.33	$1,466.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $355.28 / $506.18 / $708.47	Facility		$355.28	$506.18	$708.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.37 / $23,474.00 / $72,213.00	Facility		$404.37	$23,474.00	$72,213.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $433.34 / $1,226.72 / $2,021.26	Professional		$433.34	$1,226.72	$2,021.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $393.07 / $814.41	Professional		$76.54	$393.07	$814.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $355.28 / $506.18 / $708.47	Facility		$355.28	$506.18	$708.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $719.55 / $1,111.09 / $1,475.31	Professional		$719.55	$1,111.09	$1,475.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $109,181.40 / $109,181.40 / $109,181.40	Facility		$109,181.40	$109,181.40	$109,181.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $629.90 / $1,805.60 / $2,676.24	Professional		$629.90	$1,805.60	$2,676.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,911.99 / $1,911.99 / $1,911.99	Professional		$1,911.99	$1,911.99	$1,911.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,650.10 / $2,458.87 / $2,458.87	Professional		$1,650.10	$2,458.87	$2,458.87
United Facility/Professional Facility Modifier Low / Median / High Price $13,528.00 / $24,111.00 / $80,121.00	Facility		$13,528.00	$24,111.00	$80,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.46 / $1,191.09 / $1,765.00	Professional		$432.46	$1,191.09	$1,765.00