Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.97 / $2,300.96 / $14,482.00	Facility		$1,419.97	$2,300.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.77 / $1,419.97 / $4,310.24	Professional		$832.77	$1,419.97	$4,310.24
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 $1,126.47 / $2,753.10 / $6,872.52	Professional		$1,126.47	$2,753.10	$6,872.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,856.55 / $3,338.11 / $5,384.25	Facility		$2,856.55	$3,338.11	$5,384.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,943.03 / $3,469.00 / $4,957.89	Professional		$1,943.03	$3,469.00	$4,957.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,124.92 / $1,787.43 / $2,531.87	Facility		$1,124.92	$1,787.43	$2,531.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,306.09 / $2,590.50 / $7,700.00	Facility		$1,306.09	$2,590.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,396.49 / $3,727.25 / $6,631.75	Professional		$1,396.49	$3,727.25	$6,631.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.27 / $971.79 / $2,604.24	Professional		$105.27	$971.79	$2,604.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,124.92 / $1,787.43 / $2,531.87	Facility		$1,124.92	$1,787.43	$2,531.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,328.30 / $3,595.25 / $4,663.91	Professional		$2,328.30	$3,595.25	$4,663.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,871.84 / $21,871.84 / $21,871.84	Facility		$21,871.84	$21,871.84	$21,871.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,991.33 / $5,623.75 / $10,743.00	Professional		$1,991.33	$5,623.75	$10,743.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,848.81 / $5,848.81 / $5,848.81	Professional		$5,848.81	$5,848.81	$5,848.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,224.72 / $7,773.44 / $7,773.44	Professional		$5,224.72	$7,773.44	$7,773.44
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 $1,349.70 / $2,593.67 / $5,005.14	Professional		$1,349.70	$2,593.67	$5,005.14