Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.18 / $1,409.52 / $14,924.78	Facility		$390.18	$1,409.52	$14,924.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.18 / $516.25 / $1,511.53	Professional		$390.18	$516.25	$1,511.53
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 $384.71 / $1,021.70 / $2,640.82	Professional		$384.71	$1,021.70	$2,640.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $990.33 / $1,157.28 / $1,866.65	Facility		$990.33	$1,157.28	$1,866.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.73 / $1,202.01 / $1,591.24	Professional		$523.73	$1,202.01	$1,591.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $390.18 / $538.59 / $3,516.53	Facility		$390.18	$538.59	$3,516.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $390.18 / $3,516.53 / $8,783.00	Facility		$390.18	$3,516.53	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.05 / $1,267.61 / $2,637.91	Professional		$485.05	$1,267.61	$2,637.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $646.78 / $940.22	Professional		$85.00	$646.78	$940.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $390.18 / $566.83 / $3,516.53	Facility		$390.18	$566.83	$3,516.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $1,164.29 / $1,588.73	Professional		$754.00	$1,164.29	$1,588.73
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 $535.66 / $2,305.04 / $4,908.00	Professional		$535.66	$2,305.04	$4,908.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,805.80 / $2,272.92 / $2,272.92	Professional		$1,805.80	$2,272.92	$2,272.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $458.04 / $1,359.39 / $1,841.20	Professional		$458.04	$1,359.39	$1,841.20