Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,135.00 / $5,925.10 / $14,482.00	Facility		$3,135.00	$5,925.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,571.07 / $3,135.00 / $9,534.14	Professional		$2,571.07	$3,135.00	$9,534.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,787.94 / $7,563.19 / $15,968.91	Professional		$2,787.94	$7,563.19	$15,968.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,453.16 / $8,709.61 / $14,048.29	Facility		$7,453.16	$8,709.61	$14,048.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,345.07 / $8,523.67 / $11,914.37	Professional		$4,345.07	$8,523.67	$11,914.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,896.72 / $3,536.91 / $5,661.77	Facility		$2,896.72	$3,536.91	$5,661.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,571.07 / $3,667.95 / $7,700.00	Facility		$2,571.07	$3,667.95	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,241.07 / $7,024.62 / $13,741.67	Professional		$3,241.07	$7,024.62	$13,741.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.34 / $1,816.98 / $5,825.95	Professional		$292.34	$1,816.98	$5,825.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,918.66 / $3,536.91 / $5,661.77	Facility		$2,918.66	$3,536.91	$5,661.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,746.00 / $8,840.00 / $10,451.53	Professional		$5,746.00	$8,840.00	$10,451.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,704.04 / $30,704.04 / $30,704.04	Facility		$30,704.04	$30,704.04	$30,704.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,444.97 / $13,929.20 / $21,615.68	Professional		$4,444.97	$13,929.20	$21,615.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,180.86 / $7,180.86 / $7,180.86	Professional		$7,180.86	$7,180.86	$7,180.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,112.76 / $15,571.11 / $15,571.11	Professional		$7,112.76	$15,571.11	$15,571.11
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 $3,238.08 / $8,466.69 / $12,208.94	Professional		$3,238.08	$8,466.69	$12,208.94