Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,223.16 / $2,223.16 / $17,823.00	Facility		$2,223.16	$2,223.16	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.08 / $2,223.16 / $2,471.06	Professional		$966.08	$2,223.16	$2,471.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $18,187.00 / $24,019.00	Facility		$13,123.00	$18,187.00	$24,019.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,629.92 / $3,696.74 / $10,774.79	Professional		$1,629.92	$3,696.74	$10,774.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,686.16 / $5,192.21 / $5,900.24	Professional		$2,686.16	$5,192.21	$5,900.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,068.81 / $2,738.97 / $3,474.96	Facility		$2,068.81	$2,738.97	$3,474.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,958.11 / $3,364.00 / $7,868.00	Facility		$1,958.11	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,633.70 / $3,887.08 / $8,725.92	Professional		$1,633.70	$3,887.08	$8,725.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $4,804.12	Professional		$50.00	$70.00	$4,804.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,068.81 / $2,738.97 / $3,474.96	Facility		$2,068.81	$2,738.97	$3,474.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,054.44 / $3,785.76 / $5,428.17	Professional		$2,054.44	$3,785.76	$5,428.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,236.03 / $7,236.03 / $7,236.03	Facility		$7,236.03	$7,236.03	$7,236.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,118.16 / $7,695.40 / $12,381.76	Professional		$3,118.16	$7,695.40	$12,381.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,688.27 / $5,475.45 / $7,339.94	Professional		$1,688.27	$5,475.45	$7,339.94