Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.88 / $1,835.18 / $14,482.00	Facility		$746.88	$1,835.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.37 / $746.88 / $2,418.75	Professional		$477.37	$746.88	$2,418.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.71 / $957.41 / $2,527.92	Professional		$472.71	$957.41	$2,527.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,327.35 / $1,551.11 / $2,501.89	Facility		$1,327.35	$1,551.11	$2,501.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.67 / $1,212.75 / $2,431.38	Professional		$571.67	$1,212.75	$2,431.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $477.37 / $688.23 / $1,021.81	Facility		$477.37	$688.23	$1,021.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $497.11 / $4,103.00 / $8,783.00	Facility		$497.11	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $476.17 / $1,006.59 / $3,718.32	Professional		$476.17	$1,006.59	$3,718.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $267.85 / $794.68	Professional		$58.42	$267.85	$794.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $477.37 / $688.23 / $1,228.50	Facility		$477.37	$688.23	$1,228.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $889.80 / $1,174.54 / $1,753.35	Professional		$889.80	$1,174.54	$1,753.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $826.03 / $2,418.75 / $3,718.32	Professional		$826.03	$2,418.75	$3,718.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,325.00 / $2,325.00 / $2,325.00	Professional		$2,325.00	$2,325.00	$2,325.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,915.53 / $3,002.11 / $4,852.97	Professional		$1,915.53	$3,002.11	$4,852.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $6,754.00 / $8,384.00	Facility		$4,614.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.13 / $975.16 / $2,120.03	Professional		$484.13	$975.16	$2,120.03