Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.96 / $8,243.00 / $14,482.00	Facility		$731.96	$8,243.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.69 / $781.66 / $937.36	Professional		$629.69	$781.66	$937.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.78 / $2,053.31 / $5,004.03	Professional		$720.78	$2,053.31	$5,004.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,016.71 / $2,356.67 / $3,801.24	Facility		$2,016.71	$2,356.67	$3,801.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.31 / $1,521.39 / $3,650.03	Professional		$889.31	$1,521.39	$3,650.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $731.96 / $856.39 / $1,520.78	Facility		$731.96	$856.39	$1,520.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $778.07 / $11,591.70 / $21,512.00	Facility		$778.07	$11,591.70	$21,512.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $851.92 / $2,363.91 / $4,314.16	Professional		$851.92	$2,363.91	$4,314.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $731.96 / $856.39 / $1,520.78	Facility		$731.96	$856.39	$1,520.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $867.34 / $1,591.80 / $2,291.64	Professional		$867.34	$1,591.80	$2,291.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61,948.80 / $61,948.80 / $61,948.80	Facility		$61,948.80	$61,948.80	$61,948.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,003.38 / $3,030.35 / $5,388.16	Professional		$1,003.38	$3,030.35	$5,388.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,048.01 / $2,048.01 / $2,971.65	Professional		$2,048.01	$2,048.01	$2,971.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,336.91 / $3,332.78 / $3,390.84	Professional		$2,336.91	$3,332.78	$3,390.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $14,566.00 / $19,562.00	Facility		$8,452.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $838.44 / $2,411.13 / $3,471.80	Professional		$838.44	$2,411.13	$3,471.80