Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,005.14 / $6,779.59 / $14,482.00	Facility		$4,005.14	$6,779.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,678.69 / $4,005.14 / $11,895.90	Professional		$2,678.69	$4,005.14	$11,895.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,336.37 / $8,874.12 / $19,869.65	Professional		$3,336.37	$8,874.12	$19,869.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,442.59 / $9,865.84 / $15,913.25	Facility		$8,442.59	$9,865.84	$15,913.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,410.51 / $10,097.64 / $13,500.66	Professional		$6,410.51	$10,097.64	$13,500.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3,314.47 / $4,670.92 / $6,478.27	Facility		$3,314.47	$4,670.92	$6,478.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,803.00 / $4,602.00 / $7,700.00	Facility		$2,803.00	$4,602.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,998.70 / $9,567.16 / $23,499.80	Professional		$3,998.70	$9,567.16	$23,499.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.34 / $2,184.24 / $7,002.38	Professional		$287.34	$2,184.24	$7,002.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $3,314.47 / $4,670.92 / $6,478.27	Facility		$3,314.47	$4,670.92	$6,478.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6,773.00 / $10,458.54 / $13,531.29	Professional		$6,773.00	$10,458.54	$13,531.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83,695.92 / $83,695.92 / $83,695.92	Facility		$83,695.92	$83,695.92	$83,695.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13,869.36 / $64,914.27 / $64,914.27	Professional		$13,869.36	$64,914.27	$64,914.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,114.48 / $8,114.48 / $8,114.48	Professional		$8,114.48	$8,114.48	$8,114.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,832.76 / $19,706.57 / $19,706.57	Professional		$7,832.76	$19,706.57	$19,706.57
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 $3,973.81 / $9,048.16 / $14,802.45	Professional		$3,973.81	$9,048.16	$14,802.45