Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.92 / $2,526.91 / $14,482.00	Facility		$1,766.92	$2,526.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.47 / $1,766.92 / $4,916.27	Professional		$962.47	$1,766.92	$4,916.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,196.00 / $17,436.00	Facility		$6,538.00	$10,196.00	$17,436.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,378.80 / $3,395.24 / $8,522.69	Professional		$1,378.80	$3,395.24	$8,522.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,624.30 / $4,235.29 / $6,831.37	Facility		$3,624.30	$4,235.29	$6,831.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,133.84 / $4,364.39 / $5,479.18	Professional		$2,133.84	$4,364.39	$5,479.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,235.38 / $1,766.92 / $2,414.60	Facility		$1,235.38	$1,766.92	$2,414.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,347.68 / $2,678.00 / $7,700.00	Facility		$1,347.68	$2,678.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,645.40 / $4,137.07 / $8,050.49	Professional		$1,645.40	$4,137.07	$8,050.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,078.00 / $2,874.93	Professional		$105.27	$1,078.00	$2,874.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,235.38 / $1,766.92 / $2,414.60	Facility		$1,235.38	$1,766.92	$2,414.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,558.40 / $3,950.56 / $5,867.73	Professional		$2,558.40	$3,950.56	$5,867.73
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,142.40 / $27,142.40 / $27,142.40	Facility		$27,142.40	$27,142.40	$27,142.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,505.31 / $6,826.85 / $10,680.80	Professional		$2,505.31	$6,826.85	$10,680.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,253.14 / $7,253.14 / $7,253.14	Professional		$7,253.14	$7,253.14	$7,253.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $9,779.83 / $9,779.83	Professional		$1,705.32	$9,779.83	$9,779.83
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 $1,522.98 / $4,187.28 / $7,744.69	Professional		$1,522.98	$4,187.28	$7,744.69