Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,485.14 / $2,485.14 / $17,823.00	Facility		$2,485.14	$2,485.14	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,117.19 / $2,485.14 / $2,762.42	Professional		$1,117.19	$2,485.14	$2,762.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,968.46 / $4,665.17 / $12,673.68	Professional		$1,968.46	$4,665.17	$12,673.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,162.10 / $8,369.48 / $13,499.68	Facility		$7,162.10	$8,369.48	$13,499.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,768.22 / $8,614.24 / $11,576.09	Professional		$3,768.22	$8,614.24	$11,576.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,485.14 / $3,123.08 / $5,595.53	Facility		$2,485.14	$3,123.08	$5,595.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $3,515.43 / $7,868.00	Facility		$2,429.00	$3,515.43	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,378.00 / $6,425.79 / $14,026.66	Professional		$2,378.00	$6,425.79	$14,026.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $5,924.74	Professional		$50.00	$70.00	$5,924.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,485.14 / $3,123.08 / $5,595.53	Facility		$2,485.14	$3,123.08	$5,595.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,737.83 / $5,045.04 / $7,233.77	Professional		$2,737.83	$5,045.04	$7,233.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,686.98 / $25,686.98 / $25,686.98	Facility		$25,686.98	$25,686.98	$25,686.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,485.32 / $9,119.20 / $14,678.00	Professional		$3,485.32	$9,119.20	$14,678.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14,120.15 / $14,120.15 / $14,120.15	Professional		$14,120.15	$14,120.15	$14,120.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17,123.75 / $19,623.38 / $19,623.38	Professional		$17,123.75	$19,623.38	$19,623.38
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 $2,329.12 / $7,608.39 / $12,248.28	Professional		$2,329.12	$7,608.39	$12,248.28