Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.35 / $1,844.19 / $14,482.00	Facility		$965.35	$1,844.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.76 / $965.35 / $2,994.89	Professional		$905.76	$965.35	$2,994.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $15,738.00 / $23,778.77	Facility		$1,183.00	$15,738.00	$23,778.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $882.39 / $2,337.98 / $5,077.99	Professional		$882.39	$2,337.98	$5,077.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,314.98 / $2,705.23 / $4,363.45	Facility		$2,314.98	$2,705.23	$4,363.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.26 / $2,799.29 / $3,706.60	Professional		$1,221.26	$2,799.29	$3,706.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $901.60 / $1,235.34 / $1,762.23	Facility		$901.60	$1,235.34	$1,762.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $965.35 / $1,957.00 / $4,793.00	Facility		$965.35	$1,957.00	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,031.03 / $2,154.10 / $4,746.33	Professional		$1,031.03	$2,154.10	$4,746.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $737.50 / $1,905.22	Professional		$85.00	$737.50	$1,905.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $901.60 / $1,235.34 / $1,762.23	Facility		$901.60	$1,235.34	$1,762.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,756.95 / $2,713.00 / $3,195.76	Professional		$1,756.95	$2,713.00	$3,195.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54,004.00 / $54,004.00 / $54,004.00	Facility		$54,004.00	$54,004.00	$54,004.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,247.46 / $4,384.39 / $6,696.32	Professional		$1,247.46	$4,384.39	$6,696.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,447.46 / $2,447.46 / $2,447.46	Professional		$2,447.46	$2,447.46	$2,447.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,580.23 / $4,333.89 / $4,333.89	Professional		$2,580.23	$4,333.89	$4,333.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $995.61 / $2,681.25 / $4,286.80	Professional		$995.61	$2,681.25	$4,286.80