Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.71 / $1,135.04 / $14,482.00	Facility		$560.71	$1,135.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.38 / $575.59 / $1,873.69	Professional		$524.38	$575.59	$1,873.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $553.74 / $1,386.31 / $3,795.55	Professional		$553.74	$1,386.31	$3,795.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,418.36 / $1,657.47 / $2,673.44	Facility		$1,418.36	$1,657.47	$2,673.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.65 / $1,723.70 / $2,269.19	Professional		$751.65	$1,723.70	$2,269.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $504.46 / $656.03 / $1,102.36	Facility		$504.46	$656.03	$1,102.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $554.91 / $2,781.00 / $6,312.00	Facility		$554.91	$2,781.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $657.12 / $1,510.14 / $3,796.68	Professional		$657.12	$1,510.14	$3,796.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $757.19 / $1,265.18	Professional		$85.00	$757.19	$1,265.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $504.46 / $656.03 / $1,102.36	Facility		$504.46	$656.03	$1,102.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,084.20 / $1,674.17 / $2,286.60	Professional		$1,084.20	$1,674.17	$2,286.60
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 $768.13 / $2,745.70 / $4,139.04	Professional		$768.13	$2,745.70	$4,139.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,843.26 / $2,843.26 / $2,843.26	Professional		$2,843.26	$2,843.26	$2,843.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,675.57 / $3,259.30 / $3,259.30	Professional		$2,675.57	$3,259.30	$3,259.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,523.30 / $6,438.00	Facility		$2,976.00	$4,523.30	$6,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $636.95 / $1,647.37 / $2,672.63	Professional		$636.95	$1,647.37	$2,672.63