Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.18 / $2,037.08 / $14,482.00	Facility		$1,089.18	$2,037.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.60 / $1,089.18 / $3,308.53	Professional		$916.60	$1,089.18	$3,308.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $965.78 / $2,185.23 / $5,681.48	Professional		$965.78	$2,185.23	$5,681.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,568.19 / $3,001.14 / $4,603.82	Facility		$2,568.19	$3,001.14	$4,603.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.32 / $1,959.86 / $4,054.46	Professional		$1,042.32	$1,959.86	$4,054.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $948.19 / $1,352.09 / $2,870.22	Facility		$948.19	$1,352.09	$2,870.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,086.44 / $2,716.11 / $15,126.00	Facility		$1,086.44	$2,716.11	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $981.83 / $1,588.66 / $5,460.31	Professional		$981.83	$1,588.66	$5,460.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $790.32 / $1,992.18	Professional		$61.84	$790.32	$1,992.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $948.19 / $1,352.09 / $2,870.22	Facility		$948.19	$1,352.09	$2,870.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,892.27 / $2,426.21 / $4,101.70	Professional		$1,892.27	$2,426.21	$4,101.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,221.88 / $16,547.20 / $16,547.20	Facility		$11,221.88	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,373.38 / $4,147.79 / $7,507.56	Professional		$1,373.38	$4,147.79	$7,507.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,582.45 / $3,582.45 / $3,582.45	Professional		$3,582.45	$3,582.45	$3,582.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,208.33 / $4,950.53 / $4,950.53	Professional		$3,208.33	$4,950.53	$4,950.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $940.65 / $1,928.36 / $4,995.13	Professional		$940.65	$1,928.36	$4,995.13