Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.01 / $1,222.13 / $14,482.00	Facility		$604.01	$1,222.13	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.54 / $620.29 / $2,019.34	Professional		$564.54	$620.29	$2,019.34
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 $596.44 / $1,494.24 / $4,088.98	Professional		$596.44	$1,494.24	$4,088.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,527.40 / $1,784.89 / $2,878.96	Facility		$1,527.40	$1,784.89	$2,878.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.32 / $1,856.88 / $2,443.86	Professional		$809.32	$1,856.88	$2,443.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $549.50 / $706.69 / $1,186.85	Facility		$549.50	$706.69	$1,186.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $597.49 / $2,781.00 / $6,312.00	Facility		$597.49	$2,781.00	$6,312.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $708.24 / $1,627.62 / $4,089.29	Professional		$708.24	$1,627.62	$4,089.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $815.23 / $1,433.85	Professional		$85.00	$815.23	$1,433.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $549.50 / $706.69 / $1,186.85	Facility		$549.50	$706.69	$1,186.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,166.75 / $1,801.64 / $2,462.83	Professional		$1,166.75	$1,801.64	$2,462.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,302.50 / $14,302.50 / $14,302.50	Facility		$14,302.50	$14,302.50	$14,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $827.49 / $2,959.30 / $4,459.84	Professional		$827.49	$2,959.30	$4,459.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,063.10 / $3,063.10 / $3,063.10	Professional		$3,063.10	$3,063.10	$3,063.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,883.57 / $3,511.18 / $3,511.18	Professional		$2,883.57	$3,511.18	$3,511.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.19 / $1,738.86 / $2,879.01	Professional		$643.19	$1,738.86	$2,879.01