Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.91 / $2,433.55 / $14,482.00	Facility		$1,501.91	$2,433.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.20 / $1,501.91 / $4,228.72	Professional		$834.20	$1,501.91	$4,228.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,180.42 / $2,909.39 / $7,247.95	Professional		$1,180.42	$2,909.39	$7,247.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,037.68 / $3,549.76 / $5,725.64	Facility		$3,037.68	$3,549.76	$5,725.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,055.00 / $3,658.83 / $4,885.95	Professional		$2,055.00	$3,658.83	$4,885.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,189.74 / $1,874.11 / $2,590.50	Facility		$1,189.74	$1,874.11	$2,590.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,360.89 / $2,600.26 / $7,700.00	Facility		$1,360.89	$2,600.26	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,421.70 / $3,562.37 / $6,932.16	Professional		$1,421.70	$3,562.37	$6,932.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,074.71 / $2,738.03	Professional		$85.00	$1,074.71	$2,738.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,189.74 / $1,874.11 / $2,590.50	Facility		$1,189.74	$1,874.11	$2,590.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,421.90 / $3,739.79 / $4,919.12	Professional		$2,421.90	$3,739.79	$4,919.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,811.20 / $22,811.20 / $22,811.20	Facility		$22,811.20	$22,811.20	$22,811.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,100.30 / $5,878.50 / $8,962.79	Professional		$2,100.30	$5,878.50	$8,962.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,168.32 / $6,168.32 / $6,168.32	Professional		$6,168.32	$6,168.32	$6,168.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,447.80 / $8,198.85 / $8,198.85	Professional		$5,447.80	$8,198.85	$8,198.85
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 $1,416.06 / $3,898.95 / $5,777.54	Professional		$1,416.06	$3,898.95	$5,777.54