Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.37 / $3,073.88 / $14,482.00	Facility		$1,469.37	$3,073.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,410.35 / $1,512.68 / $7,004.80	Professional		$1,410.35	$1,512.68	$7,004.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,459.04 / $3,345.66 / $9,087.54	Professional		$1,459.04	$3,345.66	$9,087.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,877.52 / $4,531.18 / $6,950.96	Facility		$3,877.52	$4,531.18	$6,950.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,189.60 / $5,960.13 / $6,772.88	Professional		$2,189.60	$5,960.13	$6,772.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,469.37 / $2,162.96 / $3,415.43	Facility		$1,469.37	$2,162.96	$3,415.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,469.37 / $3,018.30 / $13,120.00	Facility		$1,469.37	$3,018.30	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,611.98 / $2,945.53 / $15,972.78	Professional		$1,611.98	$2,945.53	$15,972.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $903.49 / $2,887.40	Professional		$126.60	$903.49	$2,887.40
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,469.37 / $2,128.12 / $3,415.43	Facility		$1,469.37	$2,128.12	$3,415.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,978.95 / $3,629.74 / $5,418.48	Professional		$2,978.95	$3,629.74	$5,418.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14,127.84 / $14,127.84 / $14,127.84	Facility		$14,127.84	$14,127.84	$14,127.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,788.49 / $7,327.20 / $15,972.78	Professional		$2,788.49	$7,327.20	$15,972.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,874.31 / $4,874.31 / $4,874.31	Professional		$4,874.31	$4,874.31	$4,874.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,435.84 / $7,487.18 / $9,485.21	Professional		$4,435.84	$7,487.18	$9,485.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $11,799.00 / $16,373.00	Facility		$4,635.00	$11,799.00	$16,373.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,595.16 / $2,711.77 / $6,667.75	Professional		$1,595.16	$2,711.77	$6,667.75