Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,583.16 / $2,577.10 / $14,482.00	Facility		$1,583.16	$2,577.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.24 / $1,583.16 / $4,419.00	Professional		$868.24	$1,583.16	$4,419.00
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 $1,243.26 / $3,070.52 / $7,637.60	Professional		$1,243.26	$3,070.52	$7,637.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,225.11 / $3,768.79 / $6,078.93	Facility		$3,225.11	$3,768.79	$6,078.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,176.21 / $3,877.51 / $5,183.77	Professional		$2,176.21	$3,877.51	$5,183.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,259.92 / $1,974.79 / $2,747.50	Facility		$1,259.92	$1,974.79	$2,747.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,444.78 / $2,803.00 / $7,700.00	Facility		$1,444.78	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,488.95 / $3,751.47 / $7,300.14	Professional		$1,488.95	$3,751.47	$7,300.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,161.09 / $2,939.85	Professional		$85.00	$1,161.09	$2,939.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,259.92 / $1,974.79 / $2,747.50	Facility		$1,259.92	$1,974.79	$2,747.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,574.00 / $3,974.65 / $5,213.13	Professional		$2,574.00	$3,974.65	$5,213.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,363.48 / $39,363.48 / $39,363.48	Facility		$39,363.48	$39,363.48	$39,363.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,225.84 / $6,190.55 / $12,784.00	Professional		$2,225.84	$6,190.55	$12,784.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,499.92 / $6,499.92 / $6,499.92	Professional		$6,499.92	$6,499.92	$6,499.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,816.98 / $8,688.87 / $8,688.87	Professional		$5,816.98	$8,688.87	$8,688.87
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 $1,488.95 / $3,800.25 / $6,336.55	Professional		$1,488.95	$3,800.25	$6,336.55