Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.57 / $4,486.41 / $14,482.00	Facility		$2,010.57	$4,486.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,010.57 / $2,088.76 / $7,618.45	Professional		$2,010.57	$2,088.76	$7,618.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,139.28 / $5,696.81 / $16,281.20	Professional		$2,139.28	$5,696.81	$16,281.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,620.29 / $6,567.75 / $10,593.54	Facility		$5,620.29	$6,567.75	$10,593.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,987.92 / $8,439.09 / $9,589.87	Professional		$3,987.92	$8,439.09	$9,589.87
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,010.57 / $2,994.99 / $4,368.82	Facility		$2,010.57	$2,994.99	$4,368.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,066.44 / $3,364.00 / $7,700.00	Facility		$2,066.44	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,552.64 / $6,072.04 / $16,299.01	Professional		$2,552.64	$6,072.04	$16,299.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $1,917.90 / $5,119.10	Professional		$248.25	$1,917.90	$5,119.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,010.57 / $2,994.99 / $4,368.82	Facility		$2,010.57	$2,994.99	$4,368.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,685.85 / $7,209.00 / $9,548.70	Professional		$4,685.85	$7,209.00	$9,548.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,585.88 / $32,585.88 / $32,585.88	Facility		$32,585.88	$32,585.88	$32,585.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,239.75 / $10,562.65 / $16,675.43	Professional		$4,239.75	$10,562.65	$16,675.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,571.80 / $7,571.80 / $7,571.80	Professional		$7,571.80	$7,571.80	$7,571.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,323.82 / $12,636.75 / $12,636.75	Professional		$7,323.82	$12,636.75	$12,636.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,552.64 / $6,072.04 / $10,675.88	Professional		$2,552.64	$6,072.04	$10,675.88