Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.88 / $3,962.34 / $14,482.00	Facility		$1,774.88	$3,962.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,774.88 / $2,098.39 / $7,484.42	Professional		$1,774.88	$2,098.39	$7,484.42
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 $1,873.38 / $4,346.64 / $10,947.85	Professional		$1,873.38	$4,346.64	$10,947.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,968.78 / $5,806.41 / $8,907.18	Facility		$4,968.78	$5,806.41	$8,907.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,931.98 / $7,453.73 / $8,470.15	Professional		$2,931.98	$7,453.73	$8,470.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,774.88 / $2,644.57 / $4,345.30	Facility		$1,774.88	$2,644.57	$4,345.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,787.70 / $2,807.12 / $6,235.00	Facility		$1,787.70	$2,807.12	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,186.98 / $3,846.24 / $14,715.60	Professional		$2,186.98	$3,846.24	$14,715.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $1,314.89 / $4,182.76	Professional		$183.47	$1,314.89	$4,182.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,774.88 / $2,641.56 / $4,345.30	Facility		$1,774.88	$2,641.56	$4,345.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,132.05 / $5,034.74 / $7,515.88	Professional		$4,132.05	$5,034.74	$7,515.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26,354.57 / $26,354.57 / $26,354.57	Facility		$26,354.57	$26,354.57	$26,354.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,744.71 / $9,301.60 / $14,715.60	Professional		$3,744.71	$9,301.60	$14,715.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,680.88 / $6,680.88 / $6,680.88	Professional		$6,680.88	$6,680.88	$6,680.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,358.03 / $10,815.03 / $11,161.30	Professional		$6,358.03	$10,815.03	$11,161.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,185.48 / $3,869.47 / $9,139.20	Professional		$2,185.48	$3,869.47	$9,139.20