Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,834.99 / $4,096.57 / $14,482.00	Facility		$1,834.99	$4,096.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,834.99 / $1,946.97 / $6,943.16	Professional		$1,834.99	$1,946.97	$6,943.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,940.38 / $5,432.38 / $14,864.58	Professional		$1,940.38	$5,432.38	$14,864.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,134.58 / $6,000.16 / $9,678.04	Facility		$5,134.58	$6,000.16	$9,678.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,641.41 / $7,704.83 / $8,755.49	Professional		$3,641.41	$7,704.83	$8,755.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,834.99 / $2,716.53 / $4,066.30	Facility		$1,834.99	$2,716.53	$4,066.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,885.16 / $3,364.00 / $7,700.00	Facility		$1,885.16	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,324.17 / $5,468.31 / $14,848.21	Professional		$2,324.17	$5,468.31	$14,848.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $1,368.54 / $4,374.16	Professional		$174.52	$1,368.54	$4,374.16
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,834.99 / $2,716.53 / $4,066.30	Facility		$1,834.99	$2,716.53	$4,066.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,274.39 / $6,576.00 / $8,698.33	Professional		$4,274.39	$6,576.00	$8,698.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,727.60 / $29,727.60 / $29,727.60	Facility		$29,727.60	$29,727.60	$29,727.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,870.85 / $9,622.45 / $16,867.68	Professional		$3,870.85	$9,622.45	$16,867.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,905.88 / $6,905.88 / $6,905.88	Professional		$6,905.88	$6,905.88	$6,905.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,687.43 / $11,537.24 / $11,537.24	Professional		$6,687.43	$11,537.24	$11,537.24
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 $2,318.14 / $5,468.31 / $9,725.60	Professional		$2,318.14	$5,468.31	$9,725.60