Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,491.70 / $5,646.15 / $14,482.00	Facility		$3,491.70	$5,646.15	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,930.95 / $3,491.70 / $9,907.02	Professional		$1,930.95	$3,491.70	$9,907.02
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 $2,775.24 / $6,825.24 / $16,985.09	Professional		$2,775.24	$6,825.24	$16,985.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,035.04 / $8,221.01 / $13,260.19	Facility		$7,035.04	$8,221.01	$13,260.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,767.85 / $8,496.74 / $11,304.16	Professional		$4,767.85	$8,496.74	$11,304.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,760.34 / $4,367.88 / $6,141.27	Facility		$2,760.34	$4,367.88	$6,141.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,553.00 / $4,096.39 / $7,983.64	Facility		$2,553.00	$4,096.39	$7,983.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,309.96 / $8,357.65 / $15,541.74	Professional		$3,309.96	$8,357.65	$15,541.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $1,935.75 / $6,149.02	Professional		$171.04	$1,935.75	$6,149.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,760.34 / $4,367.88 / $6,141.27	Facility		$2,760.34	$4,367.88	$6,141.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,637.45 / $8,705.09 / $11,423.46	Professional		$5,637.45	$8,705.09	$11,423.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69,690.39 / $69,690.39 / $69,690.39	Facility		$69,690.39	$69,690.39	$69,690.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,877.43 / $13,791.50 / $23,037.34	Professional		$4,877.43	$13,791.50	$23,037.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,455.06 / $14,455.06 / $14,455.06	Professional		$14,455.06	$14,455.06	$14,455.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12,820.52 / $19,039.86 / $19,039.86	Professional		$12,820.52	$19,039.86	$19,039.86
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 $3,329.52 / $8,428.12 / $13,571.27	Professional		$3,329.52	$8,428.12	$13,571.27