Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.68 / $273.68 / $273.68	Facility		$273.68	$273.68	$273.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.68 / $300.10 / $649.54	Professional		$273.68	$300.10	$649.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.22 / $791.73 / $1,734.49	Professional		$416.22	$791.73	$1,734.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $534.89 / $534.89 / $534.89	Professional		$534.89	$534.89	$534.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $273.68 / $383.96 / $687.94	Facility		$273.68	$383.96	$687.94
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $355.29 / $355.29 / $355.29	Professional		$355.29	$355.29	$355.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $273.68 / $383.96 / $687.94	Facility		$273.68	$383.96	$687.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.99 / $2,436.69 / $2,436.69	Professional		$524.99	$2,436.69	$2,436.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $1,733.69	Professional		$50.00	$58.40	$1,733.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $273.68 / $383.96 / $687.94	Facility		$273.68	$383.96	$687.94
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $355.29 / $355.29 / $355.29	Professional		$355.29	$355.29	$355.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $465.04 / $853.48 / $1,228.72	Professional		$465.04	$853.48	$1,228.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,479.47 / $2,171.50 / $2,436.69	Professional		$1,479.47	$2,171.50	$2,436.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,276.63 / $1,351.73 / $1,471.88	Professional		$1,276.63	$1,351.73	$1,471.88