Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.83 / $1,318.41 / $14,482.00	Facility		$596.83	$1,318.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.41 / $596.83 / $821.72	Professional		$542.41	$596.83	$821.72
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 $612.45 / $1,590.95 / $3,467.88	Professional		$612.45	$1,590.95	$3,467.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,679.69 / $1,962.85 / $3,166.00	Facility		$1,679.69	$1,962.85	$3,166.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.07 / $1,853.15 / $2,670.07	Professional		$873.07	$1,853.15	$2,670.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $596.83 / $703.15 / $1,259.81	Facility		$596.83	$703.15	$1,259.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.55 / $9,630.90 / $17,200.00	Facility		$644.55	$9,630.90	$17,200.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $707.35 / $1,539.75 / $3,413.23	Professional		$707.35	$1,539.75	$3,413.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $493.36 / $1,288.28	Professional		$62.75	$493.36	$1,288.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $596.83 / $703.15 / $1,259.81	Facility		$596.83	$703.15	$1,259.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $833.81 / $1,530.27 / $2,293.66	Professional		$833.81	$1,530.27	$2,293.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59,954.15 / $59,954.15 / $59,954.15	Facility		$59,954.15	$59,954.15	$59,954.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $898.16 / $2,712.56 / $4,799.12	Professional		$898.16	$2,712.56	$4,799.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.79 / $1,702.79 / $1,702.79	Professional		$1,702.79	$1,702.79	$1,702.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,619.84 / $3,619.84 / $3,619.84	Professional		$3,619.84	$3,619.84	$3,619.84
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $725.04 / $1,969.70 / $2,987.34	Professional		$725.04	$1,969.70	$2,987.34