Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,420.46 / $3,916.26 / $14,482.00	Facility		$2,420.46	$3,916.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,576.13 / $2,420.46 / $7,096.39	Professional		$1,576.13	$2,420.46	$7,096.39
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 $1,923.64 / $4,704.52 / $12,280.93	Professional		$1,923.64	$4,704.52	$12,280.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,856.14 / $5,674.78 / $9,153.21	Facility		$4,856.14	$5,674.78	$9,153.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,307.07 / $5,908.18 / $7,782.13	Professional		$3,307.07	$5,908.18	$7,782.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,914.62 / $2,693.10 / $3,762.07	Facility		$1,914.62	$2,693.10	$3,762.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,088.67 / $3,364.00 / $7,868.00	Facility		$2,088.67	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,338.76 / $6,198.28 / $10,893.77	Professional		$2,338.76	$6,198.28	$10,893.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,367.38 / $4,301.26	Professional		$138.70	$1,367.38	$4,301.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,914.62 / $2,693.10 / $3,762.07	Facility		$1,914.62	$2,693.10	$3,762.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,970.85 / $6,131.60 / $7,943.25	Professional		$3,970.85	$6,131.60	$7,943.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37,312.00 / $37,312.00 / $37,312.00	Facility		$37,312.00	$37,312.00	$37,312.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,391.49 / $9,624.70 / $21,123.51	Professional		$3,391.49	$9,624.70	$21,123.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,977.37 / $9,977.37 / $9,977.37	Professional		$9,977.37	$9,977.37	$9,977.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,924.44 / $13,239.18 / $13,239.18	Professional		$9,924.44	$13,239.18	$13,239.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $4,316.80 / $19,003.00	Facility		$1,998.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,338.76 / $5,832.57 / $9,488.90	Professional		$2,338.76	$5,832.57	$9,488.90