Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,396.85 / $2,372.98 / $14,482.00	Facility		$1,396.85	$2,372.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.25 / $1,396.85 / $4,072.07	Professional		$925.25	$1,396.85	$4,072.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,084.00 / $12,066.00 / $21,984.61	Facility		$7,084.00	$12,066.00	$21,984.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,146.73 / $3,185.63 / $6,884.98	Professional		$1,146.73	$3,185.63	$6,884.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,966.49 / $3,466.57 / $5,591.46	Facility		$2,966.49	$3,466.57	$5,591.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,003.86 / $3,537.46 / $4,738.83	Professional		$2,003.86	$3,537.46	$4,738.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,160.13 / $1,612.39 / $2,302.26	Facility		$1,160.13	$1,612.39	$2,302.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,265.58 / $2,518.13 / $7,700.00	Facility		$1,265.58	$2,518.13	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,381.98 / $3,735.11 / $8,142.76	Professional		$1,381.98	$3,735.11	$8,142.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $787.29 / $2,516.90	Professional		$85.26	$787.29	$2,516.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,160.13 / $1,612.39 / $2,302.26	Facility		$1,160.13	$1,612.39	$2,302.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,375.75 / $3,656.91 / $4,673.20	Professional		$2,375.75	$3,656.91	$4,673.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,362.24 / $22,362.24 / $22,362.24	Facility		$22,362.24	$22,362.24	$22,362.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,051.48 / $5,737.25 / $8,766.48	Professional		$2,051.48	$5,737.25	$8,766.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,828.36 / $2,828.36 / $2,828.36	Professional		$2,828.36	$2,828.36	$2,828.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,695.76 / $6,903.72 / $6,903.72	Professional		$2,695.76	$6,903.72	$6,903.72
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 $1,381.98 / $3,924.28 / $5,129.10	Professional		$1,381.98	$3,924.28	$5,129.10