Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.10 / $878.15 / $14,482.00	Facility		$468.10	$878.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.42 / $468.10 / $1,390.43	Professional		$378.42	$468.10	$1,390.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.41 / $1,118.93 / $2,318.42	Professional		$404.41	$1,118.93	$2,318.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,124.59 / $1,314.18 / $2,119.73	Facility		$1,124.59	$1,314.18	$2,119.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.98 / $1,277.27 / $1,778.14	Professional		$643.98	$1,277.27	$1,778.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $429.32 / $525.19 / $1,114.70	Facility		$429.32	$525.19	$1,114.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $468.10 / $4,103.00 / $8,783.00	Facility		$468.10	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.67 / $1,016.35 / $2,051.86	Professional		$472.67	$1,016.35	$2,051.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $342.30 / $886.85	Professional		$63.30	$342.30	$886.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $430.20 / $525.19 / $1,114.70	Facility		$430.20	$525.19	$1,114.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $845.65 / $1,253.21 / $1,538.17	Professional		$845.65	$1,253.21	$1,538.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,623.50 / $12,623.50 / $12,623.50	Facility		$12,623.50	$12,623.50	$12,623.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $666.07 / $2,032.70 / $3,221.28	Professional		$666.07	$2,032.70	$3,221.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.75 / $1,067.75 / $1,067.75	Professional		$1,067.75	$1,067.75	$1,067.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.65 / $2,333.30 / $2,333.30	Professional		$1,038.65	$2,333.30	$2,333.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,477.00 / $8,384.00	Facility		$4,614.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $449.34 / $1,016.35 / $1,781.66	Professional		$449.34	$1,016.35	$1,781.66