Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,630.69 / $3,428.82 / $14,482.00	Facility		$1,630.69	$3,428.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,566.52 / $1,749.22 / $6,476.66	Professional		$1,566.52	$1,749.22	$6,476.66
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 $1,624.14 / $3,763.14 / $9,610.11	Professional		$1,624.14	$3,763.14	$9,610.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,312.76 / $5,039.80 / $7,731.18	Facility		$4,312.76	$5,039.80	$7,731.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,464.05 / $6,644.61 / $7,550.69	Professional		$2,464.05	$6,644.61	$7,550.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,630.69 / $2,301.60 / $3,603.82	Facility		$1,630.69	$2,301.60	$3,603.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,630.69 / $3,045.00 / $14,246.00	Facility		$1,630.69	$3,045.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,870.16 / $3,307.35 / $16,935.64	Professional		$1,870.16	$3,307.35	$16,935.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,006.17 / $3,185.60	Professional		$200.71	$1,006.17	$3,185.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,630.69 / $2,301.60 / $3,603.82	Facility		$1,630.69	$2,301.60	$3,603.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,352.05 / $4,084.34 / $6,097.12	Professional		$3,352.05	$4,084.34	$6,097.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,861.19 / $13,861.19 / $13,861.19	Facility		$13,861.19	$13,861.19	$13,861.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,108.73 / $8,123.40 / $16,935.64	Professional		$3,108.73	$8,123.40	$16,935.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,404.37 / $5,404.37 / $5,404.37	Professional		$5,404.37	$5,404.37	$5,404.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,932.81 / $8,328.29 / $10,574.49	Professional		$4,932.81	$8,328.29	$10,574.49
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 $1,797.95 / $3,249.36 / $7,416.66	Professional		$1,797.95	$3,249.36	$7,416.66