Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.07 / $2,720.34 / $14,482.00	Facility		$1,674.07	$2,720.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.03 / $1,674.07 / $4,718.20	Professional		$918.03	$1,674.07	$4,718.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,302.81 / $3,251.41 / $8,085.66	Professional		$1,302.81	$3,251.41	$8,085.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,402.63 / $3,976.24 / $6,413.54	Facility		$3,402.63	$3,976.24	$6,413.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,297.17 / $4,096.53 / $5,464.33	Professional		$2,297.17	$4,096.53	$5,464.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,329.94 / $2,090.35 / $3,174.54	Facility		$1,329.94	$2,090.35	$3,174.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,526.88 / $2,814.71 / $7,700.00	Facility		$1,526.88	$2,814.71	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,603.92 / $3,980.06 / $7,736.29	Professional		$1,603.92	$3,980.06	$7,736.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $940.51 / $3,029.77	Professional		$85.00	$940.51	$3,029.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,329.94 / $2,090.35 / $3,174.54	Facility		$1,329.94	$2,090.35	$3,174.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,720.25 / $4,200.47 / $5,507.59	Professional		$2,720.25	$4,200.47	$5,507.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,630.42 / $41,630.42 / $41,630.42	Facility		$41,630.42	$41,630.42	$41,630.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,351.55 / $6,560.40 / $16,108.00	Professional		$2,351.55	$6,560.40	$16,108.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,881.22 / $6,881.22 / $6,881.22	Professional		$6,881.22	$6,881.22	$6,881.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,165.49 / $9,179.65 / $9,179.65	Professional		$6,165.49	$9,179.65	$9,179.65
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 $1,579.37 / $4,022.51 / $6,715.12	Professional		$1,579.37	$4,022.51	$6,715.12