Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.35 / $2,400.37 / $14,482.00	Facility		$1,482.35	$2,400.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $834.06 / $1,482.35 / $4,561.78	Professional		$834.06	$1,482.35	$4,561.78
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 $1,177.85 / $2,876.18 / $7,175.80	Professional		$1,177.85	$2,876.18	$7,175.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,976.40 / $3,478.16 / $5,610.15	Facility		$2,976.40	$3,478.16	$5,610.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,026.98 / $3,618.42 / $4,775.17	Professional		$2,026.98	$3,618.42	$4,775.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,173.51 / $1,867.45 / $2,433.50	Facility		$1,173.51	$1,867.45	$2,433.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,364.31 / $2,647.71 / $7,700.00	Facility		$1,364.31	$2,647.71	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,460.87 / $3,821.87 / $6,937.47	Professional		$1,460.87	$3,821.87	$6,937.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $1,016.32 / $2,689.38	Professional		$105.27	$1,016.32	$2,689.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,173.51 / $1,867.45 / $2,433.50	Facility		$1,173.51	$1,867.45	$2,433.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,432.30 / $3,755.85 / $4,864.78	Professional		$2,432.30	$3,755.85	$4,864.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,693.59 / $15,693.59 / $15,693.59	Facility		$15,693.59	$15,693.59	$15,693.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,077.10 / $5,955.81 / $10,151.00	Professional		$2,077.10	$5,955.81	$10,151.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,106.90 / $6,106.90 / $6,106.90	Professional		$6,106.90	$6,106.90	$6,106.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,842.20 / $8,108.29 / $8,108.29	Professional		$2,842.20	$8,108.29	$8,108.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $6,163.00 / $19,003.00	Facility		$2,429.00	$6,163.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,428.59 / $3,582.72 / $6,021.74	Professional		$1,428.59	$3,582.72	$6,021.74