Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,024.90 / $3,276.74 / $14,482.00	Facility		$2,024.90	$3,276.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.88 / $2,024.90 / $5,708.93	Professional		$1,124.88	$2,024.90	$5,708.93
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 $1,606.53 / $3,948.86 / $9,799.18	Professional		$1,606.53	$3,948.86	$9,799.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,089.28 / $4,778.64 / $7,707.79	Facility		$4,089.28	$4,778.64	$7,707.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,767.03 / $4,940.25 / $6,557.77	Professional		$2,767.03	$4,940.25	$6,557.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,601.96 / $2,249.14 / $3,169.87	Facility		$1,601.96	$2,249.14	$3,169.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,747.60 / $3,169.87 / $7,868.00	Facility		$1,747.60	$3,169.87	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,930.50 / $5,052.85 / $8,997.24	Professional		$1,930.50	$5,052.85	$8,997.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,136.99 / $3,566.36	Professional		$112.28	$1,136.99	$3,566.36
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,601.96 / $2,249.14 / $3,169.87	Facility		$1,601.96	$2,249.14	$3,169.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,292.25 / $5,083.74 / $6,641.94	Professional		$3,292.25	$5,083.74	$6,641.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,992.64 / $30,992.64 / $30,992.64	Facility		$30,992.64	$30,992.64	$30,992.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,835.88 / $7,997.95 / $21,470.89	Professional		$2,835.88	$7,997.95	$21,470.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,339.53 / $8,339.53 / $8,339.53	Professional		$8,339.53	$8,339.53	$8,339.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,440.39 / $11,070.30 / $11,070.30	Professional		$7,440.39	$11,070.30	$11,070.30
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 $1,930.50 / $5,052.85 / $8,186.57	Professional		$1,930.50	$5,052.85	$8,186.57