Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.61 / $3,098.14 / $14,482.00	Facility		$1,386.61	$3,098.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,386.61 / $1,424.36 / $5,244.03	Professional		$1,386.61	$1,424.36	$5,244.03
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 $1,471.92 / $4,104.64 / $11,239.84	Professional		$1,471.92	$4,104.64	$11,239.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,884.73 / $4,539.60 / $7,322.23	Facility		$3,884.73	$4,539.60	$7,322.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,753.91 / $5,825.97 / $6,620.43	Professional		$2,753.91	$5,825.97	$6,620.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,386.61 / $1,995.00 / $2,960.44	Facility		$1,386.61	$1,995.00	$2,960.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,514.65 / $5,266.00 / $15,743.00	Facility		$1,514.65	$5,266.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,754.64 / $3,924.76 / $11,215.57	Professional		$1,754.64	$3,924.76	$11,215.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,328.20 / $3,506.57	Professional		$169.65	$1,328.20	$3,506.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,386.61 / $1,995.00 / $2,960.44	Facility		$1,386.61	$1,995.00	$2,960.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,229.20 / $4,968.00 / $6,578.83	Professional		$3,229.20	$4,968.00	$6,578.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,463.88 / $22,463.88 / $22,463.88	Facility		$22,463.88	$22,463.88	$22,463.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,926.94 / $7,268.30 / $12,721.76	Professional		$2,926.94	$7,268.30	$12,721.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,219.64 / $5,219.64 / $5,219.64	Professional		$5,219.64	$5,219.64	$5,219.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,057.54 / $8,723.91 / $8,723.91	Professional		$5,057.54	$8,723.91	$8,723.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,744.39 / $4,470.07 / $8,038.59	Professional		$1,744.39	$4,470.07	$8,038.59