Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.81 / $1,536.14 / $14,482.00	Facility		$943.81	$1,536.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.71 / $943.81 / $2,650.96	Professional		$516.71	$943.81	$2,650.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $732.18 / $1,817.73 / $4,538.85	Professional		$732.18	$1,817.73	$4,538.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,923.89 / $2,248.21 / $3,626.30	Facility		$1,923.89	$2,248.21	$3,626.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,297.18 / $2,305.15 / $3,099.04	Professional		$1,297.18	$2,305.15	$3,099.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $751.00 / $1,172.76 / $1,932.67	Facility		$751.00	$1,172.76	$1,932.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $854.11 / $2,553.00 / $7,700.00	Facility		$854.11	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $897.32 / $2,214.32 / $4,308.93	Professional		$897.32	$2,214.32	$4,308.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $685.19 / $1,729.70	Professional		$62.75	$685.19	$1,729.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $751.00 / $1,172.76 / $1,932.67	Facility		$751.00	$1,172.76	$1,932.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,519.70 / $2,346.65 / $3,099.16	Professional		$1,519.70	$2,346.65	$3,099.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,309.44 / $14,309.44 / $14,309.44	Facility		$14,309.44	$14,309.44	$14,309.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,323.23 / $3,654.00 / $8,508.15	Professional		$1,323.23	$3,654.00	$8,508.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,862.77 / $3,862.77 / $3,862.77	Professional		$3,862.77	$3,862.77	$3,862.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,913.26 / $5,165.43 / $5,165.43	Professional		$2,913.26	$5,165.43	$5,165.43
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 $897.32 / $2,591.66 / $3,591.56	Professional		$897.32	$2,591.66	$3,591.56