Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,732.94 / $4,415.00 / $14,482.00	Facility		$2,732.94	$4,415.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,511.69 / $2,732.94 / $8,165.70	Professional		$1,511.69	$2,732.94	$8,165.70
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 $2,174.58 / $5,339.81 / $13,242.26	Professional		$2,174.58	$5,339.81	$13,242.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,506.74 / $6,435.07 / $10,379.53	Facility		$5,506.74	$6,435.07	$10,379.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,728.22 / $6,662.06 / $8,822.34	Professional		$3,728.22	$6,662.06	$8,822.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,158.44 / $3,427.45 / $5,334.00	Facility		$2,158.44	$3,427.45	$5,334.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,354.66 / $3,583.00 / $7,700.00	Facility		$2,354.66	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,615.52 / $6,559.80 / $12,764.98	Professional		$2,615.52	$6,559.80	$12,764.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,539.22 / $4,827.97	Professional		$138.70	$1,539.22	$4,827.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,158.44 / $3,427.45 / $5,334.00	Facility		$2,158.44	$3,427.45	$5,334.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,443.39 / $6,861.29 / $8,956.83	Professional		$4,443.39	$6,861.29	$8,956.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $68,001.44 / $68,001.44 / $68,001.44	Facility		$68,001.44	$68,001.44	$68,001.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,824.27 / $10,824.75 / $26,421.00	Professional		$3,824.27	$10,824.75	$26,421.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,269.72 / $11,269.72 / $11,269.72	Professional		$11,269.72	$11,269.72	$11,269.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10,207.85 / $14,928.60 / $14,928.60	Professional		$10,207.85	$14,928.60	$14,928.60
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 $2,597.94 / $7,041.37 / $9,634.03	Professional		$2,597.94	$7,041.37	$9,634.03