Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.24 / $1,149.46 / $14,482.00	Facility		$520.24	$1,149.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.84 / $611.63 / $3,913.82	Professional		$518.84	$611.63	$3,913.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $15,502.00 / $22,165.00	Facility		$11,499.00	$15,502.00	$22,165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.82 / $1,986.63 / $5,048.63	Professional		$822.82	$1,986.63	$5,048.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.92 / $1,715.39 / $2,766.86	Facility		$1,467.92	$1,715.39	$2,766.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.40 / $1,615.93 / $3,022.37	Professional		$799.40	$1,615.93	$3,022.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.24 / $764.54 / $1,506.89	Facility		$520.24	$764.54	$1,506.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $561.96 / $5,266.00 / $15,743.00	Facility		$561.96	$5,266.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,254.33 / $2,658.73 / $7,070.40	Professional		$1,254.33	$2,658.73	$7,070.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $468.21 / $1,224.20	Professional		$65.00	$468.21	$1,224.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $520.24 / $764.54 / $1,506.89	Facility		$520.24	$764.54	$1,506.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,098.50 / $1,696.25 / $3,414.49	Professional		$1,098.50	$1,696.25	$3,414.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,285.75 / $30,285.75 / $30,285.75	Facility		$30,285.75	$30,285.75	$30,285.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $783.19 / $5,317.45 / $7,713.27	Professional		$783.19	$5,317.45	$7,713.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,801.41 / $1,801.41 / $1,801.41	Professional		$1,801.41	$1,801.41	$1,801.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,156.49 / $3,156.49 / $3,769.26	Professional		$3,156.49	$3,156.49	$3,769.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,660.81 / $11,608.00 / $13,980.00	Facility		$5,660.81	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,048.04 / $2,973.96 / $5,944.36	Professional		$1,048.04	$2,973.96	$5,944.36