Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.14 / $859.28 / $14,482.00	Facility		$381.14	$859.28	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.14 / $442.79 / $1,623.07	Professional		$381.14	$442.79	$1,623.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.64 / $808.94 / $2,337.98	Professional		$392.64	$808.94	$2,337.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,086.75 / $1,269.95 / $1,948.14	Facility		$1,086.75	$1,269.95	$1,948.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $643.10 / $1,612.23 / $1,832.08	Professional		$643.10	$1,612.23	$1,832.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $381.14 / $567.90 / $873.55	Facility		$381.14	$567.90	$873.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $381.90 / $686.05 / $23,474.00	Facility		$381.90	$686.05	$23,474.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $438.78 / $786.50 / $8,570.73	Professional		$438.78	$786.50	$8,570.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $313.54 / $905.87	Professional		$56.50	$313.54	$905.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $381.14 / $549.70 / $873.55	Facility		$381.14	$549.70	$873.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $874.90 / $1,066.03 / $1,591.38	Professional		$874.90	$1,066.03	$1,591.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,924.90 / $31,924.90 / $88,126.75	Facility		$31,924.90	$31,924.90	$88,126.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $809.98 / $1,946.45 / $8,570.73	Professional		$809.98	$1,946.45	$8,570.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,426.77 / $1,426.77 / $1,426.77	Professional		$1,426.77	$1,426.77	$1,426.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.13 / $1,937.50 / $2,414.19	Professional		$1,300.13	$1,937.50	$2,414.19
United Facility/Professional Facility Modifier Low / Median / High Price $11,078.00 / $19,708.00 / $24,111.00	Facility		$11,078.00	$19,708.00	$24,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.58 / $776.60 / $1,751.81	Professional		$432.58	$776.60	$1,751.81