Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,744.76 / $3,831.59 / $14,482.00	Facility		$1,744.76	$3,831.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,636.73 / $1,744.76 / $6,613.42	Professional		$1,636.73	$1,744.76	$6,613.42
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 $1,836.76 / $4,845.05 / $10,602.29	Professional		$1,836.76	$4,845.05	$10,602.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,878.66 / $5,701.10 / $9,195.68	Facility		$4,878.66	$5,701.10	$9,195.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,537.36 / $5,394.81 / $7,741.05	Professional		$2,537.36	$5,394.81	$7,741.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,744.76 / $2,551.78 / $3,768.00	Facility		$1,744.76	$2,551.78	$3,768.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,873.22 / $5,266.00 / $15,126.00	Facility		$1,873.22	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,163.59 / $4,549.28 / $12,097.98	Professional		$2,163.59	$4,549.28	$12,097.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $1,179.98 / $3,817.74	Professional		$127.76	$1,179.98	$3,817.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,744.76 / $2,551.78 / $3,768.00	Facility		$1,744.76	$2,551.78	$3,768.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,670.55 / $5,667.89 / $6,676.45	Professional		$3,670.55	$5,667.89	$6,676.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,465.28 / $26,465.28 / $26,465.28	Facility		$26,465.28	$26,465.28	$26,465.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,614.67 / $9,098.54 / $14,283.70	Professional		$2,614.67	$9,098.54	$14,283.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,185.64 / $5,185.64 / $5,185.64	Professional		$5,185.64	$5,185.64	$5,185.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,834.89 / $10,537.98 / $10,537.98	Professional		$5,834.89	$10,537.98	$10,537.98
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,163.59 / $5,197.99 / $8,858.31	Professional		$2,163.59	$5,197.99	$8,858.31