Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,271.09 / $8,243.00 / $17,823.00	Facility		$2,271.09	$8,243.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,271.09 / $3,643.73 / $4,328.20	Professional		$2,271.09	$3,643.73	$4,328.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $11,523.00 / $18,603.00	Facility		$7,084.00	$11,523.00	$18,603.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,241.72 / $1,397.67 / $2,277.08	Professional		$1,241.72	$1,397.67	$2,277.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,393.89 / $4,393.89 / $4,393.89	Facility		$4,393.89	$4,393.89	$4,393.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,665.76 / $6,665.76 / $6,665.76	Professional		$6,665.76	$6,665.76	$6,665.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,271.09 / $3,682.74 / $7,511.82	Facility		$2,271.09	$3,682.74	$7,511.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,391.87 / $3,816.58 / $7,511.82	Facility		$2,391.87	$3,816.58	$7,511.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,962.18 / $5,819.07 / $17,001.38	Professional		$3,962.18	$5,819.07	$17,001.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,271.09 / $3,682.74 / $7,511.82	Facility		$2,271.09	$3,682.74	$7,511.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,393.89 / $53,287.10 / $53,287.10	Facility		$4,393.89	$53,287.10	$53,287.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9,853.00 / $16,371.29 / $16,371.29	Professional		$9,853.00	$16,371.29	$16,371.29
United Facility/Professional Facility Modifier Low / Median / High Price $15,343.59 / $15,658.60 / $20,875.84	Facility		$15,343.59	$15,658.60	$20,875.84
United Facility/Professional Professional Modifier Low / Median / High Price $4,073.35 / $6,117.55 / $16,076.15	Professional		$4,073.35	$6,117.55	$16,076.15