Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.76 / $1,313.15 / $14,482.00	Facility		$644.76	$1,313.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.55 / $656.47 / $2,123.29	Professional		$606.55	$656.47	$2,123.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,485.00 / $18,276.00	Facility		$7,084.00	$11,485.00	$18,276.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.35 / $1,662.20 / $4,349.71	Professional		$625.35	$1,662.20	$4,349.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.85 / $1,929.15 / $3,111.65	Facility		$1,650.85	$1,929.15	$3,111.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.59 / $1,992.86 / $2,644.30	Professional		$869.59	$1,992.86	$2,644.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $641.98 / $851.03 / $1,303.09	Facility		$641.98	$851.03	$1,303.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.76 / $4,240.00 / $12,631.00	Facility		$644.76	$4,240.00	$12,631.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.52 / $1,707.70 / $4,283.82	Professional		$734.52	$1,707.70	$4,283.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $521.00 / $1,356.44	Professional		$63.30	$521.00	$1,356.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $642.63 / $875.49 / $1,303.09	Facility		$642.63	$875.49	$1,303.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,250.59 / $1,931.12 / $2,580.00	Professional		$1,250.59	$1,931.12	$2,580.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,223.75 / $16,223.75 / $16,223.75	Facility		$16,223.75	$16,223.75	$16,223.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $888.08 / $3,104.90 / $18,994.34	Professional		$888.08	$3,104.90	$18,994.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,258.40 / $3,258.40 / $3,258.40	Professional		$3,258.40	$3,258.40	$3,258.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,166.39 / $3,768.27 / $3,768.27	Professional		$2,166.39	$3,768.27	$3,768.27
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 $729.04 / $1,899.88 / $3,073.24	Professional		$729.04	$1,899.88	$3,073.24