Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.75 / $2,862.16 / $14,482.00	Facility		$1,362.75	$2,862.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,306.24 / $1,408.67 / $6,467.67	Professional		$1,306.24	$1,408.67	$6,467.67
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 $1,349.81 / $3,118.31 / $8,404.51	Professional		$1,349.81	$3,118.31	$8,404.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,609.89 / $4,218.43 / $6,471.19	Facility		$3,609.89	$4,218.43	$6,471.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.81 / $5,540.29 / $6,295.79	Professional		$2,041.81	$5,540.29	$6,295.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,362.75 / $1,857.14 / $3,180.18	Facility		$1,362.75	$1,857.14	$3,180.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,362.75 / $2,809.94 / $13,120.00	Facility		$1,362.75	$2,809.94	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,471.37 / $2,719.67 / $10,906.00	Professional		$1,471.37	$2,719.67	$10,906.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $842.84 / $2,683.61	Professional		$126.60	$842.84	$2,683.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,362.75 / $1,857.14 / $3,180.18	Facility		$1,362.75	$1,857.14	$3,180.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,769.65 / $3,374.71 / $5,037.78	Professional		$2,769.65	$3,374.71	$5,037.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,118.80 / $13,118.80 / $13,118.80	Facility		$13,118.80	$13,118.80	$13,118.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,592.06 / $6,765.35 / $10,906.00	Professional		$2,592.06	$6,765.35	$10,906.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,507.96 / $4,507.96 / $4,507.96	Professional		$4,507.96	$4,507.96	$4,507.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,410.64 / $6,916.14 / $8,817.07	Professional		$3,410.64	$6,916.14	$8,817.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,433.53 / $2,624.96 / $6,156.47	Professional		$1,433.53	$2,624.96	$6,156.47