Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.07 / $3,166.40 / $14,482.00	Facility		$1,874.07	$3,166.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,126.83 / $1,874.07 / $3,166.40	Professional		$1,126.83	$1,874.07	$3,166.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,389.65 / $3,999.79 / $9,022.21	Professional		$1,389.65	$3,999.79	$9,022.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,033.41 / $4,713.35 / $7,602.49	Facility		$4,033.41	$4,713.35	$7,602.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,096.87 / $4,731.22 / $6,428.20	Professional		$2,096.87	$4,731.22	$6,428.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,548.02 / $1,945.51 / $3,025.67	Facility		$1,548.02	$1,945.51	$3,025.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,708.30 / $7,590.00 / $15,702.00	Facility		$1,708.30	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,617.24 / $4,439.25 / $8,009.57	Professional		$1,617.24	$4,439.25	$8,009.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $932.97 / $3,060.41	Professional		$118.69	$932.97	$3,060.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,548.02 / $1,945.51 / $3,025.67	Facility		$1,548.02	$1,945.51	$3,025.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,024.45 / $4,653.00 / $5,606.39	Professional		$3,024.45	$4,653.00	$5,606.39
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 $2,151.71 / $7,329.80 / $11,478.64	Professional		$2,151.71	$7,329.80	$11,478.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,755.99 / $3,755.99 / $3,755.99	Professional		$3,755.99	$3,755.99	$3,755.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,233.51 / $9,233.51 / $9,233.51	Professional		$9,233.51	$9,233.51	$9,233.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.31 / $4,511.18 / $6,552.84	Professional		$1,737.31	$4,511.18	$6,552.84