Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.19 / $2,090.09 / $14,482.00	Facility		$1,118.19	$2,090.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $952.77 / $1,118.19 / $3,784.52	Professional		$952.77	$1,118.19	$3,784.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.31 / $2,293.71 / $5,832.34	Professional		$992.31	$2,293.71	$5,832.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,633.97 / $3,078.01 / $4,721.74	Facility		$2,633.97	$3,078.01	$4,721.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.68 / $2,009.49 / $4,160.20	Professional		$1,131.68	$2,009.49	$4,160.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $974.85 / $1,389.23 / $2,944.59	Facility		$974.85	$1,389.23	$2,944.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,114.72 / $2,786.79 / $13,250.00	Facility		$1,114.72	$2,786.79	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,076.55 / $1,748.91 / $6,395.54	Professional		$1,076.55	$1,748.91	$6,395.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $791.26 / $2,019.62	Professional		$61.84	$791.26	$2,019.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $974.85 / $1,389.23 / $2,944.59	Facility		$974.85	$1,389.23	$2,944.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,940.95 / $2,488.62 / $4,208.68	Professional		$1,940.95	$2,488.62	$4,208.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,363.88 / $8,374.87 / $8,374.87	Facility		$5,363.88	$8,374.87	$8,374.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,409.19 / $4,255.97 / $7,552.64	Professional		$1,409.19	$4,255.97	$7,552.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,677.59 / $3,677.59 / $3,677.59	Professional		$3,677.59	$3,677.59	$3,677.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,526.50 / $5,079.60 / $5,079.60	Professional		$3,526.50	$5,079.60	$5,079.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,006.56 / $1,609.66 / $5,129.57	Professional		$1,006.56	$1,609.66	$5,129.57