Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.83 / $2,486.96 / $14,482.00	Facility		$1,533.83	$2,486.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.48 / $1,533.83 / $4,092.12	Professional		$822.48	$1,533.83	$4,092.12
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 $1,179.96 / $2,881.40 / $7,320.97	Professional		$1,179.96	$2,881.40	$7,320.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,119.68 / $3,645.59 / $5,880.21	Facility		$3,119.68	$3,645.59	$5,880.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,100.11 / $3,738.16 / $5,019.76	Professional		$2,100.11	$3,738.16	$5,019.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,215.84 / $1,900.84 / $2,669.00	Facility		$1,215.84	$1,900.84	$2,669.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,367.36 / $6,564.00 / $12,216.00	Facility		$1,367.36	$6,564.00	$12,216.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,431.37 / $3,621.49 / $7,047.20	Professional		$1,431.37	$3,621.49	$7,047.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $833.41 / $2,651.60	Professional		$61.84	$833.41	$2,651.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,215.84 / $1,900.84 / $2,669.00	Facility		$1,215.84	$1,900.84	$2,669.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,425.80 / $3,745.81 / $5,025.79	Professional		$2,425.80	$3,745.81	$5,025.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,791.71 / $15,791.71 / $15,791.71	Facility		$15,791.71	$15,791.71	$15,791.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,145.84 / $5,976.05 / $9,082.40	Professional		$2,145.84	$5,976.05	$9,082.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,230.44 / $6,230.44 / $6,230.44	Professional		$6,230.44	$6,230.44	$6,230.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,517.20 / $8,376.56 / $8,376.56	Professional		$5,517.20	$8,376.56	$8,376.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,431.37 / $3,621.49 / $5,806.09	Professional		$1,431.37	$3,621.49	$5,806.09