Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,295.21 / $2,107.73 / $14,482.00	Facility		$1,295.21	$2,107.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.20 / $1,295.21 / $3,857.97	Professional		$758.20	$1,295.21	$3,857.97
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 $1,017.09 / $2,512.58 / $6,252.27	Professional		$1,017.09	$2,512.58	$6,252.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,639.38 / $3,084.32 / $4,974.91	Facility		$2,639.38	$3,084.32	$4,974.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,779.87 / $3,173.30 / $4,239.96	Professional		$1,779.87	$3,173.30	$4,239.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,030.45 / $1,615.25 / $2,242.77	Facility		$1,030.45	$1,615.25	$2,242.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,181.39 / $2,553.00 / $7,700.00	Facility		$1,181.39	$2,553.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,224.32 / $3,068.15 / $5,970.43	Professional		$1,224.32	$3,068.15	$5,970.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $735.59 / $2,272.14	Professional		$61.84	$735.59	$2,272.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,030.45 / $1,615.25 / $2,242.77	Facility		$1,030.45	$1,615.25	$2,242.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,104.69 / $3,249.98 / $4,266.35	Professional		$2,104.69	$3,249.98	$4,266.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32,211.40 / $32,211.40 / $32,211.40	Facility		$32,211.40	$32,211.40	$32,211.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,821.59 / $5,062.95 / $10,431.70	Professional		$1,821.59	$5,062.95	$10,431.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,320.97 / $5,320.97 / $5,320.97	Professional		$5,320.97	$5,320.97	$5,320.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,754.49 / $7,110.82 / $7,110.82	Professional		$4,754.49	$7,110.82	$7,110.82
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 $1,217.58 / $3,337.08 / $4,974.68	Professional		$1,217.58	$3,337.08	$4,974.68