Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,694.55 / $2,746.69 / $14,482.00	Facility		$1,694.55	$2,746.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.86 / $1,694.55 / $5,099.64	Professional		$935.86	$1,694.55	$5,099.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,712.00 / $12,656.00 / $19,835.00	Facility		$8,712.00	$12,656.00	$19,835.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,337.92 / $3,286.05 / $8,179.31	Professional		$1,337.92	$3,286.05	$8,179.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,427.86 / $4,005.73 / $6,461.09	Facility		$3,427.86	$4,005.73	$6,461.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,319.42 / $4,130.06 / $5,511.81	Professional		$2,319.42	$4,130.06	$5,511.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,342.83 / $2,115.61 / $2,955.36	Facility		$1,342.83	$2,115.61	$2,955.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,536.93 / $2,803.00 / $7,700.00	Facility		$1,536.93	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,601.77 / $4,028.14 / $7,838.53	Professional		$1,601.77	$4,028.14	$7,838.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $939.62 / $2,962.65	Professional		$85.00	$939.62	$2,962.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,342.83 / $2,115.61 / $2,955.36	Facility		$1,342.83	$2,115.61	$2,955.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,735.20 / $4,223.57 / $5,552.67	Professional		$2,735.20	$4,223.57	$5,552.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25,760.32 / $25,760.32 / $25,760.32	Facility		$25,760.32	$25,760.32	$25,760.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,370.81 / $6,647.10 / $14,063.00	Professional		$2,370.81	$6,647.10	$14,063.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,960.92 / $6,960.92 / $6,960.92	Professional		$6,960.92	$6,960.92	$6,960.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,236.81 / $9,254.82 / $9,254.82	Professional		$6,236.81	$9,254.82	$9,254.82
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 $1,601.77 / $4,066.74 / $6,551.62	Professional		$1,601.77	$4,066.74	$6,551.62