Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,586.09 / $2,691.54 / $14,482.00	Facility		$1,586.09	$2,691.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.00 / $1,586.09 / $4,537.71	Professional		$947.00	$1,586.09	$4,537.71
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 $1,306.07 / $3,551.55 / $7,812.16	Professional		$1,306.07	$3,551.55	$7,812.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,366.58 / $3,934.12 / $6,345.60	Facility		$3,366.58	$3,934.12	$6,345.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,782.39 / $4,015.85 / $5,399.58	Professional		$1,782.39	$4,015.85	$5,399.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,315.86 / $1,855.73 / $2,625.00	Facility		$1,315.86	$1,855.73	$2,625.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,512.91 / $2,625.00 / $7,700.00	Facility		$1,512.91	$2,625.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,568.45 / $4,162.46 / $9,239.29	Professional		$1,568.45	$4,162.46	$9,239.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $859.69 / $2,784.96	Professional		$117.62	$859.69	$2,784.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,315.86 / $1,855.73 / $2,625.00	Facility		$1,315.86	$1,855.73	$2,625.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,695.55 / $4,147.00 / $5,295.41	Professional		$2,695.55	$4,147.00	$5,295.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,159.84 / $30,159.84 / $30,159.84	Facility		$30,159.84	$30,159.84	$30,159.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,826.37 / $6,509.85 / $9,955.84	Professional		$1,826.37	$6,509.85	$9,955.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,213.35 / $3,213.35 / $3,213.35	Professional		$3,213.35	$3,213.35	$3,213.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,052.80 / $7,837.38 / $7,837.38	Professional		$3,052.80	$7,837.38	$7,837.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,568.45 / $4,452.74 / $6,354.87	Professional		$1,568.45	$4,452.74	$6,354.87