Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.28 / $4,579.96 / $14,482.00	Facility		$2,051.28	$4,579.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,051.28 / $2,139.16 / $6,966.42	Professional		$2,051.28	$2,139.16	$6,966.42
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 $2,181.00 / $5,806.60 / $16,619.58	Professional		$2,181.00	$5,806.60	$16,619.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,739.23 / $6,706.75 / $10,817.75	Facility		$5,739.23	$6,706.75	$10,817.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,071.09 / $8,614.52 / $9,789.23	Professional		$4,071.09	$8,614.52	$9,789.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,051.28 / $3,053.40 / $4,651.91	Facility		$2,051.28	$3,053.40	$4,651.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,108.39 / $3,364.00 / $7,700.00	Facility		$2,108.39	$3,364.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,601.61 / $6,219.78 / $16,616.81	Professional		$2,601.61	$6,219.78	$16,616.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $1,515.63 / $4,870.48	Professional		$234.61	$1,515.63	$4,870.48
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,051.28 / $3,053.40 / $4,651.91	Facility		$2,051.28	$3,053.40	$4,651.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,780.75 / $7,355.00 / $9,739.36	Professional		$4,780.75	$7,355.00	$9,739.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33,247.19 / $33,247.19 / $33,247.19	Facility		$33,247.19	$33,247.19	$33,247.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,327.87 / $10,768.60 / $17,015.28	Professional		$4,327.87	$10,768.60	$17,015.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,722.85 / $7,722.85 / $7,722.85	Professional		$7,722.85	$7,722.85	$7,722.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,476.54 / $12,899.44 / $12,899.44	Professional		$7,476.54	$12,899.44	$12,899.44
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 $2,601.61 / $6,623.48 / $10,884.04	Professional		$2,601.61	$6,623.48	$10,884.04