Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,411.83 / $4,425.03 / $14,482.00	Facility		$2,411.83	$4,425.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,994.46 / $2,411.83 / $6,133.39	Professional		$1,994.46	$2,411.83	$6,133.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,127.34 / $4,947.34 / $12,667.97	Professional		$2,127.34	$4,947.34	$12,667.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,668.04 / $6,623.56 / $10,160.70	Facility		$5,668.04	$6,623.56	$10,160.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,303.86 / $7,091.57 / $8,913.45	Professional		$2,303.86	$7,091.57	$8,913.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,837.50 / $2,411.83 / $4,228.35	Facility		$1,837.50	$2,411.83	$4,228.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,966.68 / $2,655.02 / $5,728.00	Facility		$1,966.68	$2,655.02	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,251.27 / $4,970.50 / $16,089.92	Professional		$2,251.27	$4,970.50	$16,089.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $1,882.17 / $4,632.91	Professional		$185.44	$1,882.17	$4,632.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,816.11 / $2,411.83 / $4,228.35	Facility		$1,816.11	$2,411.83	$4,228.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,898.20 / $5,198.89 / $9,017.29	Professional		$3,898.20	$5,198.89	$9,017.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,429.19 / $20,320.88 / $20,320.88	Facility		$2,429.19	$20,320.88	$20,320.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,019.28 / $10,501.35 / $16,089.92	Professional		$3,019.28	$10,501.35	$16,089.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,987.77 / $7,987.77 / $7,987.77	Professional		$7,987.77	$7,987.77	$7,987.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,148.88 / $10,883.36 / $10,883.36	Professional		$7,148.88	$10,883.36	$10,883.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,188.09 / $4,332.70 / $9,477.46	Professional		$2,188.09	$4,332.70	$9,477.46