Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.14 / $2,013.17 / $14,482.00	Facility		$1,240.14	$2,013.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,079.82 / $1,240.14 / $3,587.91	Professional		$1,079.82	$1,240.14	$3,587.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $15,502.00 / $22,165.00	Facility		$11,499.00	$15,502.00	$22,165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.42 / $2,397.38 / $7,213.38	Professional		$984.42	$2,397.38	$7,213.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,534.85 / $2,962.17 / $4,777.88	Facility		$2,534.85	$2,962.17	$4,777.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.00 / $3,035.70 / $4,607.39	Professional		$1,700.00	$3,035.70	$4,607.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $984.21 / $1,378.19 / $1,964.67	Facility		$984.21	$1,378.19	$1,964.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,079.82 / $2,803.00 / $7,868.00	Facility		$1,079.82	$2,803.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,153.15 / $3,583.47 / $8,904.83	Professional		$1,153.15	$3,583.47	$8,904.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $1,583.93 / $2,169.82	Professional		$132.11	$1,583.93	$2,169.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $984.21 / $1,378.19 / $1,964.67	Facility		$984.21	$1,378.19	$1,964.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,903.20 / $2,938.83 / $4,081.36	Professional		$1,903.20	$2,938.83	$4,081.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,288.17 / $10,288.17 / $10,288.17	Facility		$10,288.17	$10,288.17	$10,288.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,742.61 / $4,845.89 / $15,307.50	Professional		$1,742.61	$4,845.89	$15,307.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,074.60 / $5,074.60 / $5,074.60	Professional		$5,074.60	$5,074.60	$5,074.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,734.70 / $6,802.59 / $6,802.59	Professional		$5,734.70	$6,802.59	$6,802.59
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 $1,153.15 / $3,470.28 / $5,714.48	Professional		$1,153.15	$3,470.28	$5,714.48