Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,395.13 / $3,876.37 / $14,482.00	Facility		$2,395.13	$3,876.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,331.49 / $2,395.13 / $7,114.33	Professional		$1,331.49	$2,395.13	$7,114.33
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 $1,901.73 / $4,672.78 / $11,594.51	Professional		$1,901.73	$4,672.78	$11,594.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,838.10 / $5,653.72 / $9,119.25	Facility		$4,838.10	$5,653.72	$9,119.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,273.38 / $5,845.25 / $7,756.24	Professional		$3,273.38	$5,845.25	$7,756.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,895.11 / $2,662.42 / $3,749.47	Facility		$1,895.11	$2,662.42	$3,749.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,067.40 / $3,364.00 / $7,868.00	Facility		$2,067.40	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,284.56 / $5,735.15 / $10,649.63	Professional		$2,284.56	$5,735.15	$10,649.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,726.55 / $4,419.08	Professional		$145.52	$1,726.55	$4,419.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,895.11 / $2,662.42 / $3,749.47	Facility		$1,895.11	$2,662.42	$3,749.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,894.80 / $6,014.17 / $7,858.66	Professional		$3,894.80	$6,014.17	$7,858.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $59,600.84 / $59,600.84 / $59,600.84	Facility		$59,600.84	$59,600.84	$59,600.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,355.38 / $9,463.95 / $18,741.21	Professional		$3,355.38	$9,463.95	$18,741.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,867.40 / $9,867.40 / $9,867.40	Professional		$9,867.40	$9,867.40	$9,867.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,801.94 / $13,098.26 / $13,098.26	Professional		$8,801.94	$13,098.26	$13,098.26
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 $2,284.56 / $6,485.21 / $9,299.41	Professional		$2,284.56	$6,485.21	$9,299.41