Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,044.74 / $3,311.57 / $14,482.00	Facility		$2,044.74	$3,311.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.54 / $2,044.74 / $5,787.89	Professional		$1,123.54	$2,044.74	$5,787.89
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 $1,614.42 / $3,984.86 / $9,894.78	Professional		$1,614.42	$3,984.86	$9,894.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,134.34 / $4,831.30 / $7,792.72	Facility		$4,134.34	$4,831.30	$7,792.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,796.43 / $4,991.92 / $6,631.14	Professional		$2,796.43	$4,991.92	$6,631.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,618.99 / $2,559.98 / $3,572.40	Facility		$1,618.99	$2,559.98	$3,572.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,865.85 / $3,164.39 / $7,700.00	Facility		$1,865.85	$3,164.39	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,945.81 / $4,887.24 / $9,510.28	Professional		$1,945.81	$4,887.24	$9,510.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,136.99 / $3,566.36	Professional		$112.28	$1,136.99	$3,566.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,618.99 / $2,559.98 / $3,572.40	Facility		$1,618.99	$2,559.98	$3,572.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,324.75 / $5,133.93 / $6,711.40	Professional		$3,324.75	$5,133.93	$6,711.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,082.30 / $41,082.30 / $41,082.30	Facility		$41,082.30	$41,082.30	$41,082.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,865.54 / $8,064.75 / $16,193.00	Professional		$2,865.54	$8,064.75	$16,193.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,420.86 / $8,420.86 / $8,420.86	Professional		$8,420.86	$8,420.86	$8,420.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,519.48 / $11,186.04 / $11,186.04	Professional		$7,519.48	$11,186.04	$11,186.04
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 $1,945.81 / $4,929.89 / $7,917.20	Professional		$1,945.81	$4,929.89	$7,917.20