Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,111.42 / $11,057.20 / $19,706.50	Facility		$5,111.42	$11,057.20	$19,706.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,062.51 / $5,205.02 / $20,184.40	Professional		$5,062.51	$5,205.02	$20,184.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $19,370.00	Facility		$7,084.00	$12,066.00	$19,370.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,495.92 / $14,910.78 / $30,879.52	Professional		$5,495.92	$14,910.78	$30,879.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,788.94 / $16,113.47 / $25,990.45	Facility		$13,788.94	$16,113.47	$25,990.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,337.23 / $16,687.56 / $21,980.44	Professional		$9,337.23	$16,687.56	$21,980.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $5,405.76 / $10,565.81	Facility		$2,310.00	$5,405.76	$10,565.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $5,176.14 / $10,565.81	Facility		$2,310.00	$5,176.14	$10,565.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $6,566.78 / $13,683.54 / $32,118.14	Professional		$6,566.78	$13,683.54	$32,118.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $347.28 / $3,760.92 / $11,957.72	Professional		$347.28	$3,760.92	$11,957.72
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,310.00 / $5,405.76 / $10,565.81	Facility		$2,310.00	$5,405.76	$10,565.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11,133.20 / $17,191.37 / $24,047.42	Professional		$11,133.20	$17,191.37	$24,047.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52,424.72 / $52,424.72 / $52,424.72	Facility		$52,424.72	$52,424.72	$52,424.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,579.24 / $27,361.60 / $41,111.36	Professional		$9,579.24	$27,361.60	$41,111.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28,252.23 / $28,252.23 / $28,252.23	Professional		$28,252.23	$28,252.23	$28,252.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,404.32 / $37,394.03 / $37,394.03	Professional		$3,404.32	$37,394.03	$37,394.03
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 $6,250.72 / $16,494.36 / $23,982.44	Professional		$6,250.72	$16,494.36	$23,982.44