Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,774.14 / $4,490.01 / $14,482.00	Facility		$2,774.14	$4,490.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,526.08 / $2,774.14 / $7,861.35	Professional		$1,526.08	$2,774.14	$7,861.35
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 $2,197.86 / $5,407.02 / $13,424.95	Professional		$2,197.86	$5,407.02	$13,424.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,605.87 / $6,550.90 / $10,566.37	Facility		$5,605.87	$6,550.90	$10,566.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,791.56 / $6,771.46 / $8,987.79	Professional		$3,791.56	$6,771.46	$8,987.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,195.12 / $3,474.26 / $5,302.50	Facility		$2,195.12	$3,474.26	$5,302.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,394.67 / $3,583.00 / $7,700.00	Facility		$2,394.67	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,672.41 / $6,672.45 / $12,905.72	Professional		$2,672.41	$6,672.45	$12,905.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,584.67 / $4,935.45	Professional		$138.70	$1,584.67	$4,935.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,195.12 / $3,474.26 / $5,302.50	Facility		$2,195.12	$3,474.26	$5,302.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,509.70 / $6,963.67 / $9,103.90	Professional		$4,509.70	$6,963.67	$9,103.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69,035.98 / $69,035.98 / $69,035.98	Facility		$69,035.98	$69,035.98	$69,035.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,887.06 / $10,944.10 / $27,409.13	Professional		$3,887.06	$10,944.10	$27,409.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,425.21 / $11,425.21 / $11,425.21	Professional		$11,425.21	$11,425.21	$11,425.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,176.56 / $15,173.72 / $15,173.72	Professional		$7,176.56	$15,173.72	$15,173.72
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 $2,672.41 / $7,795.26 / $10,738.83	Professional		$2,672.41	$7,795.26	$10,738.83