Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,164.02 / $4,828.16 / $14,482.00	Facility		$2,164.02	$4,828.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,164.02 / $2,226.09 / $7,424.54	Professional		$2,164.02	$2,226.09	$7,424.54
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 $2,306.73 / $6,142.41 / $17,512.00	Professional		$2,306.73	$6,142.41	$17,512.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,048.32 / $7,067.94 / $11,400.33	Facility		$6,048.32	$7,067.94	$11,400.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,291.70 / $9,084.50 / $10,323.29	Professional		$4,291.70	$9,084.50	$10,323.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,164.02 / $3,140.00 / $4,613.58	Facility		$2,164.02	$3,140.00	$4,613.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,226.09 / $3,426.89 / $7,700.00	Facility		$2,226.09	$3,426.89	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,608.63 / $5,692.63 / $17,568.34	Professional		$2,608.63	$5,692.63	$17,568.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.61 / $1,607.05 / $5,119.56	Professional		$234.61	$1,607.05	$5,119.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $2,164.02 / $3,140.00 / $4,613.58	Facility		$2,164.02	$3,140.00	$4,613.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,048.55 / $7,767.00 / $10,291.40	Professional		$5,048.55	$7,767.00	$10,291.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46,807.68 / $46,807.68 / $46,807.68	Facility		$46,807.68	$46,807.68	$46,807.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,564.00 / $11,385.25 / $17,960.64	Professional		$4,564.00	$11,385.25	$17,960.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,151.99 / $8,151.99 / $8,151.99	Professional		$8,151.99	$8,151.99	$8,151.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,841.15 / $13,603.23 / $13,603.23	Professional		$7,841.15	$13,603.23	$13,603.23
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 $2,657.28 / $7,005.34 / $11,507.30	Professional		$2,657.28	$7,005.34	$11,507.30