Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,032.56 / $3,449.07 / $14,482.00	Facility		$2,032.56	$3,449.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,350.78 / $2,032.56 / $6,015.72	Professional		$1,350.78	$2,032.56	$6,015.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,676.76 / $4,706.43 / $10,035.17	Professional		$1,676.76	$4,706.43	$10,035.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,311.85 / $5,038.75 / $8,127.32	Facility		$4,311.85	$5,038.75	$8,127.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,912.56 / $5,145.14 / $6,883.47	Professional		$2,912.56	$5,145.14	$6,883.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,686.21 / $2,347.46 / $3,295.78	Facility		$1,686.21	$2,347.46	$3,295.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,839.50 / $3,295.78 / $7,700.00	Facility		$1,839.50	$3,295.78	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,015.41 / $5,156.41 / $9,726.71	Professional		$2,015.41	$5,156.41	$9,726.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $1,121.80 / $3,619.62	Professional		$141.41	$1,121.80	$3,619.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,686.21 / $2,347.46 / $3,295.78	Facility		$1,686.21	$2,347.46	$3,295.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,456.05 / $5,326.42 / $6,808.34	Professional		$3,456.05	$5,326.42	$6,808.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,548.96 / $32,548.96 / $32,548.96	Facility		$32,548.96	$32,548.96	$32,548.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,983.83 / $8,362.29 / $15,161.85	Professional		$2,983.83	$8,362.29	$15,161.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,118.32 / $4,118.32 / $4,118.32	Professional		$4,118.32	$4,118.32	$4,118.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,936.45 / $10,041.27 / $10,041.27	Professional		$3,936.45	$10,041.27	$10,041.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,015.41 / $5,097.07 / $7,475.90	Professional		$2,015.41	$5,097.07	$7,475.90