Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,756.49 / $2,844.00 / $14,482.00	Facility		$1,756.49	$2,844.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $987.31 / $1,756.49 / $5,167.92	Professional		$987.31	$1,756.49	$5,167.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,821.00 / $7,344.00 / $10,382.04	Facility		$4,821.00	$7,344.00	$10,382.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,392.44 / $3,280.46 / $8,255.79	Professional		$1,392.44	$3,280.46	$8,255.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,528.79 / $4,123.67 / $6,651.33	Facility		$3,528.79	$4,123.67	$6,651.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,401.60 / $4,289.76 / $6,211.98	Professional		$2,401.60	$4,289.76	$6,211.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,390.40 / $2,198.00 / $3,121.07	Facility		$1,390.40	$2,198.00	$3,121.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,615.37 / $2,803.00 / $7,700.00	Facility		$1,615.37	$2,803.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,730.60 / $4,639.41 / $8,218.42	Professional		$1,730.60	$4,639.41	$8,218.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $992.88 / $3,101.30	Professional		$97.62	$992.88	$3,101.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,390.40 / $2,198.00 / $3,121.07	Facility		$1,390.40	$2,198.00	$3,121.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,879.50 / $4,446.39 / $5,767.38	Professional		$2,879.50	$4,446.39	$5,767.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27,066.08 / $27,066.08 / $27,066.08	Facility		$27,066.08	$27,066.08	$27,066.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,462.48 / $7,056.47 / $10,612.00	Professional		$2,462.48	$7,056.47	$10,612.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7,236.10 / $7,236.10 / $7,236.10	Professional		$7,236.10	$7,236.10	$7,236.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,624.73 / $9,612.67 / $9,612.67	Professional		$6,624.73	$9,612.67	$9,612.67
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 $1,692.36 / $4,639.41 / $6,868.59	Professional		$1,692.36	$4,639.41	$6,868.59