Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,418.88 / $4,483.43 / $14,482.00	Facility		$2,418.88	$4,483.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,058.92 / $2,418.88 / $6,517.94	Professional		$2,058.92	$2,418.88	$6,517.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,166.81 / $4,961.80 / $12,817.80	Professional		$2,166.81	$4,961.80	$12,817.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,632.90 / $6,582.49 / $10,097.70	Facility		$5,632.90	$6,582.49	$10,097.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,505.21 / $7,504.21 / $8,980.62	Professional		$2,505.21	$7,504.21	$8,980.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,191.90 / $2,789.70 / $4,477.93	Facility		$2,191.90	$2,789.70	$4,477.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,132.96 / $3,033.53 / $5,887.00	Facility		$2,132.96	$3,033.53	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,360.28 / $5,244.42 / $17,258.00	Professional		$2,360.28	$5,244.42	$17,258.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.60 / $1,542.96 / $4,715.08	Professional		$170.60	$1,542.96	$4,715.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,191.90 / $2,763.76 / $4,477.93	Facility		$2,191.90	$2,763.76	$4,477.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,135.80 / $5,515.78 / $9,085.25	Professional		$4,135.80	$5,515.78	$9,085.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,605.12 / $21,117.92 / $21,117.92	Facility		$2,605.12	$21,117.92	$21,117.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,852.90 / $10,855.60 / $17,258.00	Professional		$3,852.90	$10,855.60	$17,258.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,082.25 / $8,082.25 / $8,082.25	Professional		$8,082.25	$8,082.25	$8,082.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,243.25 / $10,965.37 / $10,965.37	Professional		$7,243.25	$10,965.37	$10,965.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,204.91 / $4,316.52 / $9,797.18	Professional		$2,204.91	$4,316.52	$9,797.18