Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.50 / $1,171.01 / $14,482.00	Facility		$577.50	$1,171.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.79 / $595.49 / $1,934.48	Professional		$540.79	$595.49	$1,934.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $15,055.00 / $22,609.00	Facility		$1,183.00	$15,055.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $570.05 / $1,514.30 / $3,904.57	Professional		$570.05	$1,514.30	$3,904.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,466.12 / $1,713.28 / $2,763.46	Facility		$1,466.12	$1,713.28	$2,763.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.47 / $1,778.74 / $2,345.08	Professional		$775.47	$1,778.74	$2,345.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $572.50 / $675.68 / $1,118.97	Facility		$572.50	$675.68	$1,118.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.50 / $1,957.00 / $4,793.00	Facility		$577.50	$1,957.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $657.61 / $1,553.09 / $3,912.89	Professional		$657.61	$1,553.09	$3,912.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.92 / $541.09 / $1,245.26	Professional		$67.92	$541.09	$1,245.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $572.50 / $675.68 / $1,118.97	Facility		$572.50	$675.68	$1,118.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,116.70 / $1,724.36 / $2,356.59	Professional		$1,116.70	$1,724.36	$2,356.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,110.45 / $27,110.45 / $27,110.45	Facility		$27,110.45	$27,110.45	$27,110.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $792.67 / $2,823.80 / $4,265.28	Professional		$792.67	$2,823.80	$4,265.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,924.94 / $2,924.94 / $2,924.94	Professional		$2,924.94	$2,924.94	$2,924.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,762.37 / $3,363.42 / $3,363.42	Professional		$2,762.37	$3,363.42	$3,363.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,295.00	Facility		$2,257.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.90 / $1,993.60 / $2,724.22	Professional		$674.90	$1,993.60	$2,724.22