Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,515.25 / $2,462.26 / $14,482.00	Facility		$1,515.25	$2,462.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.80 / $1,515.25 / $4,273.88	Professional		$825.80	$1,515.25	$4,273.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.19 / $2,942.12 / $7,317.49	Professional		$1,192.19	$2,942.12	$7,317.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,080.03 / $3,599.26 / $5,805.47	Facility		$3,080.03	$3,599.26	$5,805.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,079.23 / $3,706.82 / $4,956.33	Professional		$2,079.23	$3,706.82	$4,956.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,203.77 / $1,891.85 / $3,465.00	Facility		$1,203.77	$1,891.85	$3,465.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,382.31 / $2,803.00 / $7,700.00	Facility		$1,382.31	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,452.88 / $3,615.21 / $7,001.44	Professional		$1,452.88	$3,615.21	$7,001.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,096.38 / $2,792.38	Professional		$85.00	$1,096.38	$2,792.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,203.77 / $1,891.85 / $3,465.00	Facility		$1,203.77	$1,891.85	$3,465.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,462.85 / $3,803.02 / $4,983.64	Professional		$2,462.85	$3,803.02	$4,983.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,667.50 / $37,667.50 / $37,667.50	Facility		$37,667.50	$37,667.50	$37,667.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,127.86 / $5,937.25 / $20,100.03	Professional		$2,127.86	$5,937.25	$20,100.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,227.51 / $6,227.51 / $6,227.51	Professional		$6,227.51	$6,227.51	$6,227.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,590.98 / $8,306.44 / $8,306.44	Professional		$5,590.98	$8,306.44	$8,306.44
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 $1,429.24 / $3,904.02 / $6,077.27	Professional		$1,429.24	$3,904.02	$6,077.27