Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.11 / $1,191.96 / $14,482.00	Facility		$635.11	$1,191.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.45 / $635.11 / $1,921.06	Professional		$515.45	$635.11	$1,921.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.27 / $1,526.94 / $3,147.25	Professional		$552.27	$1,526.94	$3,147.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,516.59 / $1,772.25 / $2,858.58	Facility		$1,516.59	$1,772.25	$2,858.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.11 / $1,729.34 / $2,403.78	Professional		$874.11	$1,729.34	$2,403.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $582.74 / $714.65 / $1,334.50	Facility		$582.74	$714.65	$1,334.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $635.11 / $5,266.00 / $14,978.00	Facility		$635.11	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $653.04 / $1,399.80 / $2,783.88	Professional		$653.04	$1,399.80	$2,783.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.30 / $463.84 / $1,211.81	Professional		$63.30	$463.84	$1,211.81
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $587.29 / $714.65 / $1,334.50	Facility		$587.29	$714.65	$1,334.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,151.80 / $1,747.37 / $2,095.04	Professional		$1,151.80	$1,747.37	$2,095.04
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 $901.82 / $2,799.60 / $4,373.60	Professional		$901.82	$2,799.60	$4,373.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.47 / $1,449.47 / $1,449.47	Professional		$1,449.47	$1,449.47	$1,449.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,430.88 / $3,159.17 / $3,159.17	Professional		$1,430.88	$3,159.17	$3,159.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.62 / $1,540.59 / $2,453.85	Professional		$627.62	$1,540.59	$2,453.85