Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.15 / $3,064.46 / $14,482.00	Facility		$1,370.15	$3,064.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.15 / $1,423.07 / $5,187.43	Professional		$1,370.15	$1,423.07	$5,187.43
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 $1,451.98 / $4,059.41 / $11,116.72	Professional		$1,451.98	$4,059.41	$11,116.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,844.18 / $4,492.22 / $7,245.80	Facility		$3,844.18	$4,492.22	$7,245.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,723.95 / $5,762.17 / $6,547.93	Professional		$2,723.95	$5,762.17	$6,547.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,370.15 / $2,032.77 / $2,989.51	Facility		$1,370.15	$2,032.77	$2,989.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,498.18 / $2,803.00 / $7,700.00	Facility		$1,498.18	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,729.86 / $4,043.48 / $11,063.88	Professional		$1,729.86	$4,043.48	$11,063.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $1,018.78 / $3,272.33	Professional		$132.78	$1,018.78	$3,272.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,370.15 / $2,084.66 / $2,989.51	Facility		$1,370.15	$2,084.66	$2,989.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,188.90 / $4,906.00 / $6,491.18	Professional		$3,188.90	$4,906.00	$6,491.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,344.06 / $20,344.06 / $20,344.06	Facility		$20,344.06	$20,344.06	$20,344.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,894.88 / $7,170.00 / $11,363.12	Professional		$2,894.88	$7,170.00	$11,363.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,153.89 / $5,153.89 / $5,153.89	Professional		$5,153.89	$5,153.89	$5,153.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,002.55 / $8,628.29 / $8,628.29	Professional		$5,002.55	$8,628.29	$8,628.29
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 $1,726.88 / $4,509.14 / $7,246.86	Professional		$1,726.88	$4,509.14	$7,246.86