Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.75 / $4,869.22 / $14,482.00	Facility		$1,982.75	$4,869.22	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.15 / $1,982.75 / $6,467.25	Professional		$1,275.15	$1,982.75	$6,467.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,257.80 / $2,560.00 / $6,183.94	Professional		$1,257.80	$2,560.00	$6,183.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,498.15 / $4,087.86 / $6,593.58	Facility		$3,498.15	$4,087.86	$6,593.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,133.48 / $4,204.37 / $4,777.68	Professional		$2,133.48	$4,204.37	$4,777.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,214.27 / $1,780.74 / $2,599.44	Facility		$1,214.27	$1,780.74	$2,599.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,275.15 / $5,266.00 / $14,978.00	Facility		$1,275.15	$5,266.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,308.82 / $2,691.41 / $9,867.04	Professional		$1,308.82	$2,691.41	$9,867.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $746.86 / $2,184.47	Professional		$123.62	$746.86	$2,184.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,214.27 / $1,780.74 / $2,701.15	Facility		$1,214.27	$1,780.74	$2,701.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,360.40 / $3,115.73 / $4,422.60	Professional		$2,360.40	$3,115.73	$4,422.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,130.09 / $20,130.09 / $20,130.09	Facility		$20,130.09	$20,130.09	$20,130.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,620.82 / $9,867.04 / $9,867.04	Professional		$5,620.82	$9,867.04	$9,867.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,193.00 / $6,193.00 / $6,193.00	Professional		$6,193.00	$6,193.00	$6,193.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,115.49 / $7,996.60 / $12,842.16	Professional		$5,115.49	$7,996.60	$12,842.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.91 / $2,618.40 / $5,942.33	Professional		$1,308.91	$2,618.40	$5,942.33