Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,055.48 / $3,326.02 / $14,482.00	Facility		$2,055.48	$3,326.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,204.14 / $2,055.48 / $5,635.33	Professional		$1,204.14	$2,055.48	$5,635.33
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 $1,634.11 / $3,971.02 / $9,952.56	Professional		$1,634.11	$3,971.02	$9,952.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,124.43 / $4,819.72 / $7,774.03	Facility		$4,124.43	$4,819.72	$7,774.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,808.63 / $5,016.29 / $6,613.88	Professional		$2,808.63	$5,016.29	$6,613.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,626.05 / $2,287.75 / $3,196.47	Facility		$1,626.05	$2,287.75	$3,196.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,773.88 / $3,196.47 / $7,868.00	Facility		$1,773.88	$3,196.47	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,983.48 / $5,431.80 / $9,217.60	Professional		$1,983.48	$5,431.80	$9,217.60
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 $1,626.05 / $2,287.75 / $3,196.47	Facility		$1,626.05	$2,287.75	$3,196.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,370.25 / $5,204.18 / $6,744.15	Professional		$3,370.25	$5,204.18	$6,744.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31,662.40 / $31,662.40 / $31,662.40	Facility		$31,662.40	$31,662.40	$31,662.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,879.53 / $8,165.45 / $12,414.72	Professional		$2,879.53	$8,165.45	$12,414.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,470.07 / $8,470.07 / $8,470.07	Professional		$8,470.07	$8,470.07	$8,470.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,552.28 / $11,240.71 / $11,240.71	Professional		$7,552.28	$11,240.71	$11,240.71
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 $1,983.48 / $4,971.37 / $8,048.94	Professional		$1,983.48	$4,971.37	$8,048.94