Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.92 / $3,181.36 / $14,482.00	Facility		$1,965.92	$3,181.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.97 / $1,965.92 / $6,878.06	Professional		$1,104.97	$1,965.92	$6,878.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,564.48 / $3,816.35 / $9,517.33	Professional		$1,564.48	$3,816.35	$9,517.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,945.10 / $4,610.17 / $7,436.03	Facility		$3,945.10	$4,610.17	$7,436.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,686.48 / $4,797.27 / $6,953.23	Professional		$2,686.48	$4,797.27	$6,953.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,555.33 / $2,477.34 / $3,039.97	Facility		$1,555.33	$2,477.34	$3,039.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,808.15 / $2,803.00 / $7,700.00	Facility		$1,808.15	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,937.99 / $5,168.88 / $9,203.26	Professional		$1,937.99	$5,168.88	$9,203.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.28 / $1,109.32 / $3,462.60	Professional		$112.28	$1,109.32	$3,462.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,555.33 / $2,477.34 / $3,039.97	Facility		$1,555.33	$2,477.34	$3,039.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,223.35 / $4,977.35 / $6,449.70	Professional		$3,223.35	$4,977.35	$6,449.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,271.52 / $30,271.52 / $30,271.52	Facility		$30,271.52	$30,271.52	$30,271.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,753.81 / $7,804.40 / $11,870.56	Professional		$2,753.81	$7,804.40	$11,870.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,099.67 / $8,099.67 / $8,099.67	Professional		$8,099.67	$8,099.67	$8,099.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,694.86 / $10,749.93 / $10,749.93	Professional		$3,694.86	$10,749.93	$10,749.93
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 $1,895.64 / $4,729.47 / $7,693.09	Professional		$1,895.64	$4,729.47	$7,693.09