Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.73 / $2,570.09 / $14,482.00	Facility		$891.73	$2,570.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.89 / $811.72 / $1,967.20	Professional		$502.89	$811.72	$1,967.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.09 / $1,597.13 / $4,315.95	Professional		$708.09	$1,597.13	$4,315.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,804.04 / $2,108.17 / $3,400.40	Facility		$1,804.04	$2,108.17	$3,400.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.88 / $2,177.55 / $2,890.42	Professional		$1,312.88	$2,177.55	$2,890.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $705.01 / $1,092.72 / $1,566.97	Facility		$705.01	$1,092.72	$1,566.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $798.49 / $8,627.00 / $16,779.00	Facility		$798.49	$8,627.00	$16,779.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $808.06 / $2,028.50 / $4,157.47	Professional		$808.06	$2,028.50	$4,157.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $779.85 / $1,636.35	Professional		$76.54	$779.85	$1,636.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $705.01 / $1,092.72 / $1,566.97	Facility		$705.01	$1,092.72	$1,566.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,446.25 / $2,233.23 / $2,927.61	Professional		$1,446.25	$2,233.23	$2,927.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,070.15 / $17,070.15 / $17,070.15	Facility		$17,070.15	$17,070.15	$17,070.15
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,618.01 / $1,618.01 / $1,618.01	Facility	AS	$1,618.01	$1,618.01	$1,618.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,355.25 / $3,525.55 / $5,349.84	Professional		$1,355.25	$3,525.55	$5,349.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.99 / $4,879.51 / $4,879.51	Professional		$1,278.99	$4,879.51	$4,879.51
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.06 / $2,159.54 / $3,480.65	Professional		$808.06	$2,159.54	$3,480.65