Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.69 / $4,324.68 / $14,482.00	Facility		$1,971.69	$4,324.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,823.41 / $1,971.69 / $7,367.57	Professional		$1,823.41	$1,971.69	$7,367.57
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 $2,053.58 / $5,477.63 / $11,913.69	Professional		$2,053.58	$5,477.63	$11,913.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,515.76 / $6,445.60 / $10,396.52	Facility		$5,515.76	$6,445.60	$10,396.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,863.90 / $6,093.04 / $8,746.08	Professional		$2,863.90	$6,093.04	$8,746.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,971.69 / $2,875.01 / $4,710.00	Facility		$1,971.69	$2,875.01	$4,710.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,114.29 / $5,266.00 / $15,126.00	Facility		$2,114.29	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,428.06 / $5,108.64 / $13,585.54	Professional		$2,428.06	$5,108.64	$13,585.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $1,356.20 / $4,307.80	Professional		$127.76	$1,356.20	$4,307.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,971.69 / $2,875.01 / $4,710.00	Facility		$1,971.69	$2,875.01	$4,710.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,139.85 / $6,392.57 / $7,530.07	Professional		$4,139.85	$6,392.57	$7,530.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,874.12 / $29,874.12 / $29,874.12	Facility		$29,874.12	$29,874.12	$29,874.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,953.09 / $10,217.29 / $17,855.03	Professional		$2,953.09	$10,217.29	$17,855.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,862.70 / $5,862.70 / $5,862.70	Professional		$5,862.70	$5,862.70	$5,862.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,576.18 / $11,901.86 / $11,901.86	Professional		$6,576.18	$11,901.86	$11,901.86
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 $2,428.06 / $6,236.52 / $9,861.60	Professional		$2,428.06	$6,236.52	$9,861.60