Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.20 / $1,020.26 / $14,482.00	Facility		$536.20	$1,020.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.74 / $536.20 / $1,538.62	Professional		$434.74	$536.20	$1,538.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.26 / $1,285.81 / $2,660.40	Professional		$466.26	$1,285.81	$2,660.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.81 / $1,514.26 / $2,442.44	Facility		$1,295.81	$1,514.26	$2,442.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.20 / $1,472.48 / $2,064.46	Professional		$748.20	$1,472.48	$2,064.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $498.80 / $600.42 / $1,334.50	Facility		$498.80	$600.42	$1,334.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $536.20 / $5,266.00 / $15,743.00	Facility		$536.20	$5,266.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $528.48 / $1,171.84 / $2,350.32	Professional		$528.48	$1,171.84	$2,350.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $402.49 / $1,048.16	Professional		$63.30	$402.49	$1,048.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $498.80 / $600.42 / $1,334.50	Facility		$498.80	$600.42	$1,334.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $968.50 / $1,461.91 / $1,761.63	Professional		$968.50	$1,461.91	$1,761.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,704.40 / $17,704.40 / $17,704.40	Facility		$17,704.40	$17,704.40	$17,704.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $767.88 / $2,565.67 / $5,058.97	Professional		$767.88	$2,565.67	$5,058.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,225.24 / $1,225.24 / $1,225.24	Professional		$1,225.24	$1,225.24	$1,225.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.16 / $2,689.97 / $2,689.97	Professional		$1,199.16	$2,689.97	$2,689.97
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,733.00 / $16,437.00	Facility		$7,301.00	$11,733.00	$16,437.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.47 / $1,171.84 / $2,054.25	Professional		$505.47	$1,171.84	$2,054.25