Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,948.72 / $3,608.59 / $14,482.00	Facility		$1,948.72	$3,608.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.06 / $1,948.72 / $5,069.47	Professional		$1,634.06	$1,948.72	$5,069.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,772.51 / $3,997.37 / $10,240.96	Professional		$1,772.51	$3,997.37	$10,240.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,554.26 / $5,322.01 / $8,164.11	Facility		$4,554.26	$5,322.01	$8,164.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.34 / $6,057.14 / $7,239.55	Professional		$1,998.34	$6,057.14	$7,239.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,610.74 / $2,052.89 / $3,525.18	Facility		$1,610.74	$2,052.89	$3,525.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,634.06 / $2,300.39 / $4,821.00	Facility		$1,634.06	$2,300.39	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,870.16 / $4,019.96 / $13,170.48	Professional		$1,870.16	$4,019.96	$13,170.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $155.97 / $1,548.07 / $3,766.50	Professional		$155.97	$1,548.07	$3,766.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,619.49 / $2,052.89 / $3,525.18	Facility		$1,619.49	$2,052.89	$3,525.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,188.40 / $4,252.26 / $7,323.90	Professional		$3,188.40	$4,252.26	$7,323.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,014.84 / $16,542.64 / $16,542.64	Facility		$2,014.84	$16,542.64	$16,542.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,834.79 / $8,716.29 / $13,170.48	Professional		$2,834.79	$8,716.29	$13,170.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,457.41 / $6,457.41 / $6,457.41	Professional		$6,457.41	$6,457.41	$6,457.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,942.66 / $8,839.46 / $8,839.46	Professional		$5,942.66	$8,839.46	$8,839.46
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 $1,831.10 / $3,529.80 / $7,866.46	Professional		$1,831.10	$3,529.80	$7,866.46