Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.80 / $948.20 / $14,482.00	Facility		$582.80	$948.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.48 / $582.80 / $1,430.50	Professional		$337.48	$582.80	$1,430.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.19 / $1,043.83 / $2,814.26	Professional		$450.19	$1,043.83	$2,814.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,193.98 / $1,395.26 / $2,250.51	Facility		$1,193.98	$1,395.26	$2,250.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.14 / $1,428.05 / $1,916.40	Professional		$868.14	$1,428.05	$1,916.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $463.56 / $723.57 / $1,570.00	Facility		$463.56	$723.57	$1,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.42 / $6,564.00 / $12,216.00	Facility		$528.42	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $539.32 / $1,364.32 / $2,654.88	Professional		$539.32	$1,364.32	$2,654.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.54 / $530.74 / $1,112.39	Professional		$76.54	$530.74	$1,112.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $463.56 / $723.57 / $1,570.00	Facility		$463.56	$723.57	$1,570.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $941.20 / $1,453.36 / $1,919.95	Professional		$941.20	$1,453.36	$1,919.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,909.30 / $12,909.30 / $12,909.30	Facility		$12,909.30	$12,909.30	$12,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $888.80 / $2,251.35 / $7,387.04	Professional		$888.80	$2,251.35	$7,387.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,395.07 / $2,395.07 / $2,395.07	Professional		$2,395.07	$2,395.07	$2,395.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,153.03 / $3,200.05 / $3,200.05	Professional		$2,153.03	$3,200.05	$3,200.05
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $539.32 / $1,479.03 / $2,191.65	Professional		$539.32	$1,479.03	$2,191.65