Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.10 / $6,461.00 / $14,482.00	Facility		$401.10	$6,461.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.13 / $401.10 / $513.69	Professional		$391.13	$401.10	$513.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.98 / $1,045.59 / $2,499.17	Professional		$359.98	$1,045.59	$2,499.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,008.35 / $1,178.33 / $1,900.62	Facility		$1,008.35	$1,178.33	$1,900.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.95 / $782.49 / $1,825.02	Professional		$582.95	$782.49	$1,825.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.04 / $452.70 / $760.39	Facility		$389.04	$452.70	$760.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $412.81 / $5,515.40 / $8,783.00	Facility		$412.81	$5,515.40	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.49 / $1,182.96 / $2,158.51	Professional		$426.49	$1,182.96	$2,158.51
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 $389.04 / $452.70 / $760.39	Facility		$389.04	$452.70	$760.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $568.63 / $1,043.58 / $1,502.40	Professional		$568.63	$1,043.58	$1,502.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40,845.50 / $40,845.50 / $40,845.50	Facility		$40,845.50	$40,845.50	$40,845.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $599.83 / $1,811.57 / $3,221.36	Professional		$599.83	$1,811.57	$3,221.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.86 / $1,505.86 / $2,337.27	Professional		$1,505.86	$1,505.86	$2,337.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,718.29 / $2,621.30 / $2,666.98	Professional		$1,718.29	$2,621.30	$2,666.98
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 $417.27 / $1,119.00 / $1,797.13	Professional		$417.27	$1,119.00	$1,797.13