Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,970.26 / $3,658.30 / $14,482.00	Facility		$1,970.26	$3,658.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,674.57 / $1,970.26 / $5,323.05	Professional		$1,674.57	$1,970.26	$5,323.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,761.97 / $4,041.56 / $10,430.96	Professional		$1,761.97	$4,041.56	$10,430.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,584.89 / $5,357.82 / $8,219.03	Facility		$4,584.89	$5,357.82	$8,219.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,078.82 / $6,115.69 / $7,319.48	Professional		$2,078.82	$6,115.69	$7,319.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,760.18 / $2,132.11 / $3,559.02	Facility		$1,760.18	$2,132.11	$3,559.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,728.42 / $2,319.73 / $5,378.40	Facility		$1,728.42	$2,319.73	$5,378.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,925.14 / $4,300.53 / $13,486.56	Professional		$1,925.14	$4,300.53	$13,486.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $1,614.64 / $3,980.79	Professional		$174.72	$1,614.64	$3,980.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,687.50 / $2,132.11 / $3,559.02	Facility		$1,687.50	$2,132.11	$3,559.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,381.00 / $4,509.13 / $7,404.76	Professional		$3,381.00	$4,509.13	$7,404.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,130.71 / $30,153.76 / $30,153.76	Facility		$2,130.71	$30,153.76	$30,153.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,158.88 / $8,811.35 / $13,486.56	Professional		$3,158.88	$8,811.35	$13,486.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,577.21 / $6,577.21 / $6,577.21	Professional		$6,577.21	$6,577.21	$6,577.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,473.80 / $8,937.09 / $8,937.09	Professional		$3,473.80	$8,937.09	$8,937.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,790.05 / $3,524.54 / $7,952.24	Professional		$1,790.05	$3,524.54	$7,952.24