Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,103.65 / $1,792.33 / $14,482.00	Facility		$1,103.65	$1,792.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.52 / $1,103.65 / $2,894.71	Professional		$612.52	$1,103.65	$2,894.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.87 / $2,039.11 / $5,333.29	Professional		$871.87	$2,039.11	$5,333.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,241.09 / $2,618.89 / $4,224.17	Facility		$2,241.09	$2,618.89	$4,224.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.51 / $2,698.96 / $3,599.72	Professional		$1,513.51	$2,698.96	$3,599.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $876.25 / $1,220.61 / $1,739.41	Facility		$876.25	$1,220.61	$1,739.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,006.59 / $2,803.00 / $7,868.00	Facility		$1,006.59	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,044.79 / $2,879.61 / $4,886.62	Professional		$1,044.79	$2,879.61	$4,886.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $788.13 / $1,994.69	Professional		$62.75	$788.13	$1,994.69
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $876.25 / $1,220.61 / $1,739.41	Facility		$876.25	$1,220.61	$1,739.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,793.35 / $2,769.21 / $3,628.62	Professional		$1,793.35	$2,769.21	$3,628.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,884.16 / $16,884.16 / $16,884.16	Facility		$16,884.16	$16,884.16	$16,884.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,549.30 / $4,338.50 / $6,618.88	Professional		$1,549.30	$4,338.50	$6,618.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,538.83 / $4,538.83 / $4,538.83	Professional		$4,538.83	$4,538.83	$4,538.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,069.78 / $6,047.91 / $6,047.91	Professional		$4,069.78	$6,047.91	$6,047.91
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 $1,044.79 / $3,027.51 / $4,440.82	Professional		$1,044.79	$3,027.51	$4,440.82