Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.16 / $1,219.76 / $12,132.25	Facility		$327.16	$1,219.76	$12,132.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.51 / $402.80 / $3,706.00	Professional		$206.51	$402.80	$3,706.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,136.00	Facility		$13,123.00	$18,187.00	$24,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $343.43 / $801.22 / $2,017.70	Professional		$343.43	$801.22	$2,017.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $865.08 / $1,010.91 / $1,550.76	Facility		$865.08	$1,010.91	$1,550.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.70 / $1,290.83 / $1,466.85	Professional		$531.70	$1,290.83	$1,466.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $327.16 / $487.47 / $760.45	Facility		$327.16	$487.47	$760.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $331.57 / $677.37 / $23,474.00	Facility		$331.57	$677.37	$23,474.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $409.69 / $747.69 / $13,506.61	Professional		$409.69	$747.69	$13,506.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $294.83 / $732.46	Professional		$64.69	$294.83	$732.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $327.16 / $487.08 / $760.45	Facility		$327.16	$487.08	$760.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $668.20 / $814.18 / $1,215.40	Professional		$668.20	$814.18	$1,215.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50,000.00 / $50,000.00 / $149,069.65	Facility		$50,000.00	$50,000.00	$149,069.65
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $14,129.69 / $14,129.69 / $14,129.69	Facility	AS	$14,129.69	$14,129.69	$14,129.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $648.50 / $1,707.05 / $13,506.61	Professional		$648.50	$1,707.05	$13,506.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,284.83 / $1,932.88 / $1,932.88	Professional		$1,284.83	$1,932.88	$1,932.88
United Facility/Professional Facility Modifier Low / Median / High Price $9,504.00 / $18,364.00 / $24,111.00	Facility		$9,504.00	$18,364.00	$24,111.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.96 / $699.52 / $1,536.35	Professional		$392.96	$699.52	$1,536.35