Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,049.51 / $3,316.16 / $14,482.00	Facility		$2,049.51	$3,316.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,152.06 / $2,049.51 / $6,000.22	Professional		$1,152.06	$2,049.51	$6,000.22
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 $1,629.91 / $3,979.78 / $9,922.29	Professional		$1,629.91	$3,979.78	$9,922.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,112.71 / $4,806.03 / $7,751.95	Facility		$4,112.71	$4,806.03	$7,751.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,800.31 / $5,001.39 / $7,195.01	Professional		$2,800.31	$5,001.39	$7,195.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,621.24 / $2,582.92 / $3,570.00	Facility		$1,621.24	$2,582.92	$3,570.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,885.07 / $3,168.78 / $7,700.00	Facility		$1,885.07	$3,168.78	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,020.46 / $5,382.43 / $9,594.89	Professional		$2,020.46	$5,382.43	$9,594.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,181.27 / $3,681.97	Professional		$112.28	$1,181.27	$3,681.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,621.24 / $2,582.92 / $3,570.00	Facility		$1,621.24	$2,582.92	$3,570.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,360.50 / $5,189.13 / $6,724.13	Professional		$3,360.50	$5,189.13	$6,724.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,569.76 / $31,569.76 / $31,569.76	Facility		$31,569.76	$31,569.76	$31,569.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,870.97 / $8,136.50 / $12,378.16	Professional		$2,870.97	$8,136.50	$12,378.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,444.29 / $8,444.29 / $8,444.29	Professional		$8,444.29	$8,444.29	$8,444.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,529.90 / $11,207.31 / $11,207.31	Professional		$7,529.90	$11,207.31	$11,207.31
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 $1,976.46 / $4,954.03 / $8,019.99	Professional		$1,976.46	$4,954.03	$8,019.99