Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,095.81 / $4,411.47 / $14,482.00	Facility		$2,095.81	$4,411.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,058.42 / $2,285.89 / $9,922.46	Professional		$2,058.42	$2,285.89	$9,922.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $37,855.00	Facility		$11,499.00	$16,401.00	$37,855.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,060.92 / $4,826.35 / $12,941.52	Professional		$2,060.92	$4,826.35	$12,941.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,527.47 / $6,459.29 / $9,908.70	Facility		$5,527.47	$6,459.29	$9,908.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,117.19 / $8,891.40 / $10,116.37	Professional		$3,117.19	$8,891.40	$10,116.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,095.81 / $2,885.29 / $4,633.78	Facility		$2,095.81	$2,885.29	$4,633.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,136.76 / $4,298.04 / $17,940.00	Facility		$2,136.76	$4,298.04	$17,940.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,333.50 / $4,027.11 / $16,382.64	Professional		$2,333.50	$4,027.11	$16,382.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $1,341.04 / $4,348.18	Professional		$200.71	$1,341.04	$4,348.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,095.81 / $2,885.29 / $4,633.78	Facility		$2,095.81	$2,885.29	$4,633.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,603.30 / $5,608.94 / $8,373.04	Professional		$4,603.30	$5,608.94	$8,373.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,342.50 / $29,342.50 / $29,342.50	Facility		$29,342.50	$29,342.50	$29,342.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,887.06 / $10,379.15 / $16,382.64	Professional		$3,887.06	$10,379.15	$16,382.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,941.51 / $6,941.51 / $6,941.51	Professional		$6,941.51	$6,941.51	$6,941.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,626.42 / $12,872.66 / $13,631.02	Professional		$5,626.42	$12,872.66	$13,631.02
United Facility/Professional Facility Modifier Low / Median / High Price $8,452.00 / $17,119.00 / $22,229.00	Facility		$8,452.00	$17,119.00	$22,229.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,319.25 / $4,027.11 / $9,133.65	Professional		$2,319.25	$4,027.11	$9,133.65