Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,918.77 / $4,031.55 / $14,482.00	Facility		$1,918.77	$4,031.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,850.36 / $1,993.62 / $9,089.89	Professional		$1,850.36	$1,993.62	$9,089.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,924.49 / $4,427.93 / $11,868.19	Professional		$1,924.49	$4,427.93	$11,868.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,067.00 / $5,921.19 / $9,083.25	Facility		$5,067.00	$5,921.19	$9,083.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,943.08 / $8,122.60 / $9,230.23	Professional		$2,943.08	$8,122.60	$9,230.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,918.77 / $2,866.88 / $4,295.33	Facility		$1,918.77	$2,866.88	$4,295.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,918.77 / $3,946.02 / $16,976.00	Facility		$1,918.77	$3,946.02	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,244.42 / $3,875.60 / $18,269.46	Professional		$2,244.42	$3,875.60	$18,269.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,199.63 / $3,800.56	Professional		$200.71	$1,199.63	$3,800.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,918.77 / $2,831.68 / $4,295.33	Facility		$1,918.77	$2,831.68	$4,295.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,944.20 / $4,805.85 / $7,174.20	Professional		$3,944.20	$4,805.85	$7,174.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,627.00 / $32,627.00 / $32,627.00	Facility		$32,627.00	$32,627.00	$32,627.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,656.26 / $9,508.25 / $18,269.46	Professional		$3,656.26	$9,508.25	$18,269.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,365.79 / $6,365.79 / $6,365.79	Professional		$6,365.79	$6,365.79	$6,365.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,826.51 / $11,777.30 / $12,436.97	Professional		$5,826.51	$11,777.30	$12,436.97
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,181.05 / $3,803.30 / $8,652.51	Professional		$2,181.05	$3,803.30	$8,652.51