Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,216.02 / $3,586.12 / $14,482.00	Facility		$2,216.02	$3,586.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,231.01 / $2,216.02 / $6,279.52	Professional		$1,231.01	$2,216.02	$6,279.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,764.32 / $4,304.28 / $10,705.47	Professional		$1,764.32	$4,304.28	$10,705.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,470.46 / $5,224.08 / $8,426.26	Facility		$4,470.46	$5,224.08	$8,426.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,028.28 / $5,394.91 / $7,185.06	Professional		$3,028.28	$5,394.91	$7,185.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,753.21 / $2,770.21 / $3,925.00	Facility		$1,753.21	$2,770.21	$3,925.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,010.16 / $3,426.73 / $7,700.00	Facility		$2,010.16	$3,426.73	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,134.67 / $5,283.65 / $10,281.68	Professional		$2,134.67	$5,283.65	$10,281.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,235.41 / $3,887.59	Professional		$112.28	$1,235.41	$3,887.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,753.21 / $2,770.21 / $3,925.00	Facility		$1,753.21	$2,770.21	$3,925.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,577.60 / $5,524.36 / $7,253.19	Professional		$3,577.60	$5,524.36	$7,253.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44,214.45 / $44,214.45 / $44,214.45	Facility		$44,214.45	$44,214.45	$44,214.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,096.86 / $8,718.90 / $17,387.00	Professional		$3,096.86	$8,718.90	$17,387.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,110.82 / $9,110.82 / $9,110.82	Professional		$9,110.82	$9,110.82	$9,110.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,142.88 / $12,089.11 / $12,089.11	Professional		$8,142.88	$12,089.11	$12,089.11
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 $2,103.38 / $5,358.06 / $8,630.95	Professional		$2,103.38	$5,358.06	$8,630.95