Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,470.48 / $2,738.77 / $14,482.00	Facility		$1,470.48	$2,738.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,259.05 / $1,470.48 / $3,964.19	Professional		$1,259.05	$1,470.48	$3,964.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,908.00 / $18,360.00	Facility		$6,538.00	$10,908.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.77 / $3,016.37 / $7,768.66	Professional		$1,309.77	$3,016.37	$7,768.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,427.86 / $4,005.73 / $6,144.89	Facility		$3,427.86	$4,005.73	$6,144.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.65 / $4,579.00 / $5,471.43	Professional		$1,531.65	$4,579.00	$5,471.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,335.32 / $1,702.70 / $2,665.29	Facility		$1,335.32	$1,702.70	$2,665.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,310.86 / $1,878.37 / $4,821.00	Facility		$1,310.86	$1,878.37	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,443.84 / $3,268.29 / $10,079.76	Professional		$1,443.84	$3,268.29	$10,079.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,218.08 / $3,011.30	Professional		$119.10	$1,218.08	$3,011.30
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,335.32 / $1,672.11 / $2,665.29	Facility		$1,335.32	$1,672.11	$2,665.29
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,529.60 / $3,373.64 / $5,535.18	Professional		$2,529.60	$3,373.64	$5,535.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,592.05 / $12,879.04 / $12,879.04	Facility		$1,592.05	$12,879.04	$12,879.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,361.31 / $6,553.50 / $10,079.76	Professional		$2,361.31	$6,553.50	$10,079.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,898.52 / $4,898.52 / $4,898.52	Professional		$4,898.52	$4,898.52	$4,898.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,424.63 / $6,680.64 / $6,680.64	Professional		$4,424.63	$6,680.64	$6,680.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $4,917.00 / $19,003.00	Facility		$2,429.00	$4,917.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,407.72 / $2,870.43 / $5,914.53	Professional		$1,407.72	$2,870.43	$5,914.53