Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.69 / $3,243.67 / $14,482.00	Facility		$1,449.69	$3,243.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,449.69 / $1,541.14 / $5,460.52	Professional		$1,449.69	$1,541.14	$5,460.52
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 $1,527.79 / $4,275.41 / $11,764.69	Professional		$1,527.79	$4,275.41	$11,764.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.06 / $4,759.70 / $7,677.22	Facility		$4,073.06	$4,759.70	$7,677.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,883.26 / $6,098.03 / $6,929.58	Professional		$2,883.26	$6,098.03	$6,929.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,449.69 / $2,138.91 / $3,360.00	Facility		$1,449.69	$2,138.91	$3,360.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,585.79 / $3,099.50 / $7,700.00	Facility		$1,585.79	$3,099.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,820.82 / $4,341.28 / $11,656.97	Professional		$1,820.82	$4,341.28	$11,656.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.65 / $1,370.95 / $3,576.52	Professional		$169.65	$1,370.95	$3,576.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,449.69 / $2,138.91 / $3,360.00	Facility		$1,449.69	$2,138.91	$3,360.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,366.35 / $5,179.00 / $6,825.61	Professional		$3,366.35	$5,179.00	$6,825.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23,445.24 / $23,445.24 / $23,445.24	Facility		$23,445.24	$23,445.24	$23,445.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,063.62 / $7,554.35 / $14,280.36	Professional		$3,063.62	$7,554.35	$14,280.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,448.84 / $5,448.84 / $5,448.84	Professional		$5,448.84	$5,448.84	$5,448.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,295.11 / $9,131.23 / $9,131.23	Professional		$5,295.11	$9,131.23	$9,131.23
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 $1,813.04 / $4,639.75 / $7,635.33	Professional		$1,813.04	$4,639.75	$7,635.33