Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,111.91 / $9,452.20 / $16,845.90	Facility		$5,111.91	$9,452.20	$16,845.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,465.27 / $5,111.91 / $14,030.01	Professional		$4,465.27	$5,111.91	$14,030.01
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 $4,487.22 / $10,485.96 / $27,112.33	Professional		$4,487.22	$10,485.96	$27,112.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,786.65 / $13,773.63 / $21,129.11	Facility		$11,786.65	$13,773.63	$21,129.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,470.44 / $15,684.76 / $18,956.84	Professional		$5,470.44	$15,684.76	$18,956.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4,031.76 / $5,213.01 / $9,128.19	Facility		$4,031.76	$5,213.01	$9,128.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,849.37 / $5,334.48 / $10,090.00	Facility		$2,849.37	$5,334.48	$10,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,565.68 / $10,838.44 / $35,138.96	Professional		$4,565.68	$10,838.44	$35,138.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $359.60 / $3,263.60 / $9,968.51	Professional		$359.60	$3,263.60	$9,968.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $4,031.76 / $5,213.01 / $9,128.19	Facility		$4,031.76	$5,213.01	$9,128.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,784.00 / $11,714.93 / $19,177.72	Professional		$8,784.00	$11,714.93	$19,177.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,609.84 / $89,616.32 / $89,616.32	Facility		$5,609.84	$89,616.32	$89,616.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8,291.82 / $23,216.55 / $35,138.96	Professional		$8,291.82	$23,216.55	$35,138.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17,095.65 / $17,095.65 / $17,095.65	Professional		$17,095.65	$17,095.65	$17,095.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16,772.89 / $23,146.36 / $23,146.36	Professional		$16,772.89	$23,146.36	$23,146.36
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 $4,687.35 / $9,729.94 / $20,952.93	Professional		$4,687.35	$9,729.94	$20,952.93