Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.96 / $1,303.56 / $14,482.00	Facility		$639.96	$1,303.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.05 / $651.07 / $2,105.40	Professional		$602.05	$651.07	$2,105.40
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 $620.38 / $1,647.92 / $4,316.28	Professional		$620.38	$1,647.92	$4,316.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.14 / $1,915.46 / $3,089.57	Facility		$1,639.14	$1,915.46	$3,089.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.25 / $1,978.22 / $2,624.25	Professional		$863.25	$1,978.22	$2,624.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $637.29 / $844.75 / $1,274.91	Facility		$637.29	$844.75	$1,274.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $639.96 / $4,103.00 / $8,783.00	Facility		$639.96	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $733.06 / $1,694.69 / $4,249.01	Professional		$733.06	$1,694.69	$4,249.01
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 $637.85 / $868.53 / $1,274.91	Facility		$637.85	$868.53	$1,274.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,241.50 / $1,917.07 / $2,559.01	Professional		$1,241.50	$1,917.07	$2,559.01
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 $881.55 / $3,081.25 / $5,631.92	Professional		$881.55	$3,081.25	$5,631.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,233.38 / $3,233.38 / $3,233.38	Professional		$3,233.38	$3,233.38	$3,233.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.02 / $3,740.57 / $3,740.57	Professional		$2,089.02	$3,740.57	$3,740.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $7,611.00 / $9,134.00	Facility		$4,918.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $726.47 / $1,884.43 / $3,050.38	Professional		$726.47	$1,884.43	$3,050.38