Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.22 / $2,633.67 / $14,482.00	Facility		$1,570.22	$2,633.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $961.67 / $1,570.22 / $4,218.95	Professional		$961.67	$1,570.22	$4,218.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,210.49 / $3,381.15 / $7,581.51	Professional		$1,210.49	$3,381.15	$7,581.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,396.32 / $3,968.87 / $6,401.65	Facility		$3,396.32	$3,968.87	$6,401.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,744.07 / $3,954.82 / $5,384.51	Professional		$1,744.07	$3,954.82	$5,384.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,287.57 / $1,837.16 / $2,516.62	Facility		$1,287.57	$1,837.16	$2,516.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,404.62 / $5,266.00 / $15,126.00	Facility		$1,404.62	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,429.33 / $3,644.20 / $8,687.98	Professional		$1,429.33	$3,644.20	$8,687.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $804.65 / $2,568.82	Professional		$94.25	$804.65	$2,568.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,404.62 / $1,837.16 / $2,516.62	Facility		$1,404.62	$1,837.16	$2,516.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,505.75 / $3,855.00 / $4,847.79	Professional		$2,505.75	$3,855.00	$4,847.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,798.60 / $6,121.40 / $9,540.16	Professional		$1,798.60	$6,121.40	$9,540.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,156.23 / $3,156.23 / $3,156.23	Professional		$3,156.23	$3,156.23	$3,156.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,987.17 / $7,718.17 / $7,718.17	Professional		$2,987.17	$7,718.17	$7,718.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,434.20 / $4,187.04 / $6,054.09	Professional		$1,434.20	$4,187.04	$6,054.09