Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.54 / $1,461.12 / $14,482.00	Facility		$447.54	$1,461.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.88 / $447.54 / $1,207.10	Professional		$380.88	$447.54	$1,207.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,695.00 / $15,579.70	Facility		$6,538.00	$9,695.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $419.53 / $918.02 / $2,402.50	Professional		$419.53	$918.02	$2,402.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,036.29 / $1,210.98 / $1,857.68	Facility		$1,036.29	$1,210.98	$1,857.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.08 / $1,371.79 / $1,652.21	Professional		$514.08	$1,371.79	$1,652.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $404.65 / $540.16 / $901.83	Facility		$404.65	$540.16	$901.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $404.06 / $618.95 / $13,822.07	Facility		$404.06	$618.95	$13,822.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $451.84 / $953.62 / $5,296.80	Professional		$451.84	$953.62	$5,296.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.39 / $444.24 / $966.74	Professional		$58.39	$444.24	$966.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $404.06 / $540.16 / $901.83	Facility		$404.06	$540.16	$901.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $747.60 / $997.05 / $1,671.46	Professional		$747.60	$997.05	$1,671.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $474.19 / $17,070.15 / $17,070.15	Facility		$474.19	$17,070.15	$17,070.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $687.31 / $2,067.69 / $5,296.80	Professional		$687.31	$2,067.69	$5,296.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.91 / $1,514.91 / $1,514.91	Professional		$1,514.91	$1,514.91	$1,514.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,396.90 / $2,017.36 / $2,017.36	Professional		$1,396.90	$2,017.36	$2,017.36
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,752.00 / $17,327.00	Facility		$7,984.00	$13,752.00	$17,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.96 / $909.79 / $1,873.34	Professional		$444.96	$909.79	$1,873.34