Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,933.69 / $4,041.74 / $14,482.00	Facility		$1,933.69	$4,041.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,886.41 / $2,086.63 / $7,634.40	Professional		$1,886.41	$2,086.63	$7,634.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,881.04 / $4,462.35 / $11,973.33	Professional		$1,881.04	$4,462.35	$11,973.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,112.95 / $5,974.89 / $9,165.64	Facility		$5,112.95	$5,974.89	$9,165.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,867.01 / $7,889.01 / $8,964.79	Professional		$2,867.01	$7,889.01	$8,964.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,933.69 / $2,633.46 / $4,342.22	Facility		$1,933.69	$2,633.46	$4,342.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,978.40 / $3,862.11 / $13,250.00	Facility		$1,978.40	$3,862.11	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,076.56 / $3,784.00 / $15,018.16	Professional		$2,076.56	$3,784.00	$15,018.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,226.48 / $3,865.60	Professional		$200.71	$1,226.48	$3,865.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,933.69 / $2,561.05 / $4,342.22	Facility		$1,933.69	$2,561.05	$4,342.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,182.75 / $5,096.52 / $7,559.42	Professional		$4,182.75	$5,096.52	$7,559.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,537.04 / $19,537.04 / $19,537.04	Facility		$19,537.04	$19,537.04	$19,537.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,690.92 / $9,399.85 / $15,018.16	Professional		$3,690.92	$9,399.85	$15,018.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,422.19 / $6,422.19 / $6,422.19	Professional		$6,422.19	$6,422.19	$6,422.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,709.95 / $9,816.50 / $12,554.89	Professional		$5,709.95	$9,816.50	$12,554.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $14,978.00	Facility		$7,217.00	$11,733.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,076.56 / $3,784.00 / $8,553.86	Professional		$2,076.56	$3,784.00	$8,553.86