Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,712.25 / $4,386.68 / $14,482.00	Facility		$2,712.25	$4,386.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.77 / $2,712.25 / $7,942.64	Professional		$1,523.77	$2,712.25	$7,942.64
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 $2,155.44 / $5,270.01 / $13,134.65	Professional		$2,155.44	$5,270.01	$13,134.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,437.36 / $6,353.98 / $10,248.75	Facility		$5,437.36	$6,353.98	$10,248.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,704.32 / $6,616.42 / $8,717.31	Professional		$3,704.32	$6,616.42	$8,717.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,144.60 / $3,017.63 / $4,213.22	Facility		$2,144.60	$3,017.63	$4,213.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $3,419.80 / $7,868.00	Facility		$2,203.00	$3,419.80	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,620.67 / $6,925.07 / $12,210.26	Professional		$2,620.67	$6,925.07	$12,210.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $1,549.04 / $4,881.94	Professional		$138.70	$1,549.04	$4,881.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,144.60 / $3,017.63 / $4,213.22	Facility		$2,144.60	$3,017.63	$4,213.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,449.25 / $6,870.33 / $8,895.45	Professional		$4,449.25	$6,870.33	$8,895.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41,784.00 / $41,784.00 / $41,784.00	Facility		$41,784.00	$41,784.00	$41,784.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,798.06 / $10,783.05 / $23,688.62	Professional		$3,798.06	$10,783.05	$23,688.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11,178.13 / $11,178.13 / $11,178.13	Professional		$11,178.13	$11,178.13	$11,178.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,247.61 / $14,826.28 / $14,826.28	Professional		$7,247.61	$14,826.28	$14,826.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,620.67 / $6,988.10 / $10,619.66	Professional		$2,620.67	$6,988.10	$10,619.66