Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.32 / $1,627.90 / $14,482.00	Facility		$800.32	$1,627.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.73 / $815.85 / $2,642.84	Professional		$751.73	$815.85	$2,642.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,403.00 / $23,778.77	Facility		$13,123.00	$17,403.00	$23,778.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.98 / $2,067.91 / $5,404.77	Professional		$778.98	$2,067.91	$5,404.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,043.74 / $2,388.27 / $3,852.20	Facility		$2,043.74	$2,388.27	$3,852.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,078.03 / $2,471.36 / $3,272.80	Professional		$1,078.03	$2,471.36	$3,272.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $795.86 / $1,053.58 / $1,555.55	Facility		$795.86	$1,053.58	$1,555.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $800.32 / $7,775.00 / $19,754.00	Facility		$800.32	$7,775.00	$19,754.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $921.88 / $2,129.11 / $5,333.49	Professional		$921.88	$2,129.11	$5,333.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $667.78 / $1,711.38	Professional		$63.30	$667.78	$1,711.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $795.86 / $1,053.58 / $1,555.55	Facility		$795.86	$1,053.58	$1,555.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,550.90 / $2,394.83 / $3,212.17	Professional		$1,550.90	$2,394.83	$3,212.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95,670.15 / $95,670.15 / $95,670.15	Facility		$95,670.15	$95,670.15	$95,670.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,101.32 / $3,871.10 / $7,091.49	Professional		$1,101.32	$3,871.10	$7,091.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,048.77 / $4,048.77 / $4,048.77	Professional		$4,048.77	$4,048.77	$4,048.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,773.88 / $4,673.09 / $4,673.09	Professional		$3,773.88	$4,673.09	$4,673.09
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.40 / $2,366.44 / $3,814.73	Professional		$913.40	$2,366.44	$3,814.73