Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.41 / $1,306.44 / $14,482.00	Facility		$641.41	$1,306.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $603.41 / $652.53 / $2,110.16	Professional		$603.41	$652.53	$2,110.16
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 $621.67 / $1,650.94 / $4,326.14	Professional		$621.67	$1,650.94	$4,326.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.74 / $1,919.67 / $3,096.37	Facility		$1,642.74	$1,919.67	$3,096.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $865.16 / $1,982.97 / $2,629.98	Professional		$865.16	$1,982.97	$2,629.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $638.70 / $846.51 / $1,277.70	Facility		$638.70	$846.51	$1,277.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $641.41 / $4,103.00 / $8,783.00	Facility		$641.41	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $735.66 / $1,698.59 / $4,258.79	Professional		$735.66	$1,698.59	$4,258.79
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 $639.13 / $846.51 / $1,277.70	Facility		$639.13	$846.51	$1,277.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,244.09 / $1,921.08 / $2,564.92	Professional		$1,244.09	$1,921.08	$2,564.92
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 $883.68 / $3,088.35 / $5,405.71	Professional		$883.68	$3,088.35	$5,405.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.75 / $3,240.75 / $3,240.75	Professional		$3,240.75	$3,240.75	$3,240.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,013.22 / $3,749.56 / $3,749.56	Professional		$3,013.22	$3,749.56	$3,749.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.34 / $1,813.55 / $3,057.28	Professional		$717.34	$1,813.55	$3,057.28