Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.74 / $2,619.11 / $14,482.00	Facility		$1,243.74	$2,619.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.28 / $1,294.93 / $5,890.25	Professional		$1,196.28	$1,294.93	$5,890.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,006.00 / $18,294.00	Facility		$5,060.00	$8,006.00	$18,294.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.48 / $2,553.21 / $7,316.52	Professional		$1,235.48	$2,553.21	$7,316.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,299.90 / $3,856.20 / $5,915.50	Facility		$3,299.90	$3,856.20	$5,915.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,864.77 / $5,074.17 / $5,766.10	Professional		$1,864.77	$5,074.17	$5,766.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,243.74 / $1,799.53 / $2,748.67	Facility		$1,243.74	$1,799.53	$2,748.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,243.74 / $2,376.00 / $14,246.00	Facility		$1,243.74	$2,376.00	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,413.90 / $2,698.67 / $9,510.48	Professional		$1,413.90	$2,698.67	$9,510.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $762.72 / $2,432.23	Professional		$126.60	$762.72	$2,432.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,243.74 / $1,799.53 / $2,748.67	Facility		$1,243.74	$1,799.53	$2,748.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,554.50 / $3,112.56 / $4,646.43	Professional		$2,554.50	$3,112.56	$4,646.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,570.63 / $10,570.63 / $10,570.63	Facility		$10,570.63	$10,570.63	$10,570.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,373.98 / $6,161.35 / $9,510.48	Professional		$2,373.98	$6,161.35	$9,510.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,114.54 / $4,114.54 / $4,114.54	Professional		$4,114.54	$4,114.54	$4,114.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,757.41 / $6,335.49 / $8,075.26	Professional		$3,757.41	$6,335.49	$8,075.26
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,387.34 / $2,513.83 / $5,606.83	Professional		$1,387.34	$2,513.83	$5,606.83