Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.81 / $699.57 / $14,482.00	Facility		$442.81	$699.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $442.81 / $1,246.51	Professional		$249.45	$442.81	$1,246.51
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 $345.46 / $793.10 / $2,077.30	Professional		$345.46	$793.10	$2,077.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.72 / $1,057.24 / $1,705.29	Facility		$904.72	$1,057.24	$1,705.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.76 / $1,082.93 / $1,599.95	Professional		$599.76	$1,082.93	$1,599.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $342.01 / $549.45 / $1,638.00	Facility		$342.01	$549.45	$1,638.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.34 / $13,676.00 / $57,393.62	Facility		$389.34	$13,676.00	$57,393.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $447.43 / $1,201.19 / $2,240.86	Professional		$447.43	$1,201.19	$2,240.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $356.74 / $822.24	Professional		$68.40	$356.74	$822.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $342.01 / $549.45 / $1,638.00	Facility		$342.01	$549.45	$1,638.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $692.90 / $1,069.94 / $1,455.95	Professional		$692.90	$1,069.94	$1,455.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $105,460.00 / $105,460.00 / $105,460.00	Facility		$105,460.00	$105,460.00	$105,460.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $621.65 / $2,117.69 / $19,347.62	Professional		$621.65	$2,117.69	$19,347.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.73 / $1,820.73 / $1,820.73	Professional		$1,820.73	$1,820.73	$1,820.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,781.57 / $2,426.67 / $2,426.67	Professional		$1,781.57	$2,426.67	$2,426.67
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 $412.36 / $1,139.49 / $1,688.52	Professional		$412.36	$1,139.49	$1,688.52