Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,470.42 / $5,451.05 / $14,482.00	Facility		$2,470.42	$5,451.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,470.42 / $2,481.64 / $9,308.19	Professional		$2,470.42	$2,481.64	$9,308.19
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 $2,592.40 / $7,283.05 / $19,912.12	Professional		$2,592.40	$7,283.05	$19,912.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,919.70 / $8,086.22 / $13,042.78	Facility		$6,919.70	$8,086.22	$13,042.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,845.37 / $10,321.14 / $11,728.56	Professional		$4,845.37	$10,321.14	$11,728.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,470.42 / $3,103.48 / $5,208.78	Facility		$2,470.42	$3,103.48	$5,208.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,470.42 / $3,629.36 / $7,700.00	Facility		$2,470.42	$3,629.36	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,101.10 / $6,650.58 / $19,930.50	Professional		$3,101.10	$6,650.58	$19,930.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $267.74 / $1,800.89 / $5,780.12	Professional		$267.74	$1,800.89	$5,780.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,470.42 / $3,103.48 / $5,208.78	Facility		$2,470.42	$3,103.48	$5,208.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,619.90 / $8,646.00 / $11,575.75	Professional		$5,619.90	$8,646.00	$11,575.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39,477.00 / $39,477.00 / $39,477.00	Facility		$39,477.00	$39,477.00	$39,477.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,185.27 / $12,916.05 / $20,242.96	Professional		$5,185.27	$12,916.05	$20,242.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,361.14 / $9,361.14 / $9,361.14	Professional		$9,361.14	$9,361.14	$9,361.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,898.54 / $15,454.93 / $15,454.93	Professional		$8,898.54	$15,454.93	$15,454.93
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 $2,898.02 / $7,896.40 / $13,054.51	Professional		$2,898.02	$7,896.40	$13,054.51