Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,294.10 / $4,284.99 / $14,482.00	Facility		$2,294.10	$4,284.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,956.13 / $2,294.10 / $6,127.54	Professional		$1,956.13	$2,294.10	$6,127.54
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 $2,021.80 / $4,705.85 / $12,112.23	Professional		$2,021.80	$4,705.85	$12,112.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,373.38 / $6,279.22 / $9,632.48	Facility		$5,373.38	$6,279.22	$9,632.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,325.78 / $7,135.91 / $8,547.20	Professional		$2,325.78	$7,135.91	$8,547.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,031.81 / $2,598.92 / $4,185.18	Facility		$2,031.81	$2,598.92	$4,185.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,006.52 / $2,731.92 / $5,713.32	Facility		$2,006.52	$2,731.92	$5,713.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,181.82 / $4,793.85 / $15,693.04	Professional		$2,181.82	$4,793.85	$15,693.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $1,914.38 / $4,739.64	Professional		$174.72	$1,914.38	$4,739.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,002.13 / $2,576.30 / $4,185.18	Facility		$2,002.13	$2,576.30	$4,185.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,939.00 / $5,253.31 / $8,646.79	Professional		$3,939.00	$5,253.31	$8,646.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,462.84 / $20,054.24 / $20,054.24	Facility		$2,462.84	$20,054.24	$20,054.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,639.60 / $10,128.15 / $15,693.04	Professional		$3,639.60	$10,128.15	$15,693.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,637.33 / $7,637.33 / $7,637.33	Professional		$7,637.33	$7,637.33	$7,637.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,263.30 / $10,436.19 / $10,436.19	Professional		$4,263.30	$10,436.19	$10,436.19
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 $2,097.08 / $4,017.98 / $9,140.66	Professional		$2,097.08	$4,017.98	$9,140.66