Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.27 / $1,763.64 / $14,482.00	Facility		$795.27	$1,763.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.03 / $795.27 / $1,151.16	Professional		$759.03	$795.27	$1,151.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.42 / $2,183.58 / $6,298.07	Professional		$794.42	$2,183.58	$6,298.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,224.87 / $2,599.92 / $4,193.60	Facility		$2,224.87	$2,599.92	$4,193.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,567.67 / $3,324.28 / $3,777.59	Professional		$1,567.67	$3,324.28	$3,777.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $795.27 / $940.61 / $1,685.26	Facility		$795.27	$940.61	$1,685.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $862.22 / $11,591.70 / $21,512.00	Facility		$862.22	$11,591.70	$21,512.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $917.86 / $2,569.63 / $5,390.99	Professional		$917.86	$2,569.63	$5,390.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $689.56 / $1,822.13	Professional		$85.00	$689.56	$1,822.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $795.27 / $940.61 / $1,685.26	Facility		$795.27	$940.61	$1,685.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,119.63 / $2,054.82 / $3,079.89	Professional		$1,119.63	$2,054.82	$3,079.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48,106.45 / $48,106.45 / $48,106.45	Facility		$48,106.45	$48,106.45	$48,106.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,670.09 / $3,613.19 / $6,423.52	Professional		$1,670.09	$3,613.19	$6,423.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,802.15 / $2,802.15 / $2,802.15	Professional		$2,802.15	$2,802.15	$2,802.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,746.11 / $4,977.76 / $4,977.76	Professional		$2,746.11	$4,977.76	$4,977.76
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.49 / $2,431.73 / $4,035.60	Professional		$851.49	$2,431.73	$4,035.60