Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.01 / $2,403.19 / $14,482.00	Facility		$1,141.01	$2,403.19	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.63 / $1,215.93 / $5,384.81	Professional		$1,096.63	$1,215.93	$5,384.81
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 $1,126.93 / $2,633.09 / $6,714.17	Professional		$1,126.93	$2,633.09	$6,714.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,030.47 / $3,541.34 / $5,432.51	Facility		$3,030.47	$3,541.34	$5,432.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,712.44 / $4,657.50 / $5,292.61	Professional		$1,712.44	$4,657.50	$5,292.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,141.01 / $1,645.82 / $2,670.23	Facility		$1,141.01	$1,645.82	$2,670.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,141.01 / $2,360.83 / $14,246.00	Facility		$1,141.01	$2,360.83	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,286.22 / $2,467.10 / $8,723.60	Professional		$1,286.22	$2,467.10	$8,723.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $705.78 / $2,255.43	Professional		$126.60	$705.78	$2,255.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,141.01 / $1,645.82 / $2,670.23	Facility		$1,141.01	$1,645.82	$2,670.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,341.94 / $2,853.58 / $4,259.83	Professional		$2,341.94	$2,853.58	$4,259.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,312.10 / $8,312.10 / $8,312.10	Facility		$8,312.10	$8,312.10	$8,312.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,179.04 / $5,632.65 / $8,723.60	Professional		$2,179.04	$5,632.65	$8,723.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,775.80 / $3,775.80 / $3,775.80	Professional		$3,775.80	$3,775.80	$3,775.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,404.78 / $5,805.87 / $7,412.15	Professional		$3,404.78	$5,805.87	$7,412.15
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 $1,239.18 / $2,280.66 / $5,400.44	Professional		$1,239.18	$2,280.66	$5,400.44