Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,135.14 / $3,464.37 / $14,482.00	Facility		$2,135.14	$3,464.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,183.80 / $2,135.14 / $6,032.42	Professional		$1,183.80	$2,135.14	$6,032.42
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 $1,684.80 / $4,151.57 / $10,316.99	Professional		$1,684.80	$4,151.57	$10,316.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,329.88 / $5,059.81 / $8,161.29	Facility		$4,329.88	$5,059.81	$8,161.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,925.47 / $5,219.02 / $7,116.46	Professional		$2,925.47	$5,219.02	$7,116.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,693.69 / $2,669.08 / $4,620.00	Facility		$1,693.69	$2,669.08	$4,620.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,947.75 / $3,364.00 / $7,700.00	Facility		$1,947.75	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,050.67 / $5,158.31 / $9,891.35	Professional		$2,050.67	$5,158.31	$9,891.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,230.59 / $3,825.57	Professional		$112.28	$1,230.59	$3,825.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,693.69 / $2,669.08 / $4,620.00	Facility		$1,693.69	$2,669.08	$4,620.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,470.35 / $5,358.75 / $7,016.72	Professional		$3,470.35	$5,358.75	$7,016.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53,096.42 / $53,096.42 / $53,096.42	Facility		$53,096.42	$53,096.42	$53,096.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,995.91 / $8,387.90 / $21,307.00	Professional		$2,995.91	$8,387.90	$21,307.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,780.19 / $8,780.19 / $8,780.19	Professional		$8,780.19	$8,780.19	$8,780.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,866.43 / $11,694.99 / $11,694.99	Professional		$7,866.43	$11,694.99	$11,694.99
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 $2,021.27 / $5,501.18 / $8,501.02	Professional		$2,021.27	$5,501.18	$8,501.02