Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.92 / $3,119.00 / $14,482.00	Facility		$1,121.92	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.45 / $1,121.92 / $2,890.19	Professional		$943.45	$1,121.92	$2,890.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,931.00 / $7,344.00	Facility		$2,740.00	$4,931.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.77 / $2,301.38 / $5,878.69	Professional		$979.77	$2,301.38	$5,878.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,631.27 / $3,074.85 / $4,716.89	Facility		$2,631.27	$3,074.85	$4,716.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,099.36 / $3,437.24 / $4,172.70	Professional		$1,099.36	$3,437.24	$4,172.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $953.63 / $1,183.44 / $2,033.22	Facility		$953.63	$1,183.44	$2,033.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $956.79 / $1,342.26 / $7,318.00	Facility		$956.79	$1,342.26	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,050.21 / $2,309.12 / $7,582.64	Professional		$1,050.21	$2,309.12	$7,582.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $889.78 / $2,172.33	Professional		$94.16	$889.78	$2,172.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $953.63 / $1,183.44 / $2,033.22	Facility		$953.63	$1,183.44	$2,033.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,842.60 / $2,457.41 / $4,221.31	Professional		$1,842.60	$2,457.41	$4,221.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,158.61 / $8,353.03 / $8,353.03	Facility		$1,158.61	$8,353.03	$8,353.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,628.12 / $4,878.55 / $7,582.64	Professional		$1,628.12	$4,878.55	$7,582.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,690.03 / $3,690.03 / $3,690.03	Professional		$3,690.03	$3,690.03	$3,690.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,362.30 / $5,094.89 / $5,094.89	Professional		$3,362.30	$5,094.89	$5,094.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,080.00 / $7,495.00 / $8,384.00	Facility		$5,080.00	$7,495.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.41 / $2,038.52 / $4,419.97	Professional		$1,004.41	$2,038.52	$4,419.97