Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.66 / $2,369.27 / $14,482.00	Facility		$1,270.66	$2,369.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.91 / $1,270.66 / $3,418.55	Professional		$1,080.91	$1,270.66	$3,418.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,297.93	Facility		$5,060.00	$7,979.00	$13,297.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.27 / $2,606.48 / $6,712.48	Professional		$1,126.27	$2,606.48	$6,712.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,967.39 / $3,467.63 / $5,319.43	Facility		$2,967.39	$3,467.63	$5,319.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.76 / $3,966.00 / $4,732.66	Professional		$1,321.76	$3,966.00	$4,732.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,151.24 / $1,464.15 / $2,490.00	Facility		$1,151.24	$1,464.15	$2,490.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,131.25 / $1,632.34 / $4,821.00	Facility		$1,131.25	$1,632.34	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,234.30 / $2,741.17 / $8,760.76	Professional		$1,234.30	$2,741.17	$8,760.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $817.96 / $2,519.03	Professional		$90.40	$817.96	$2,519.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,151.24 / $1,443.70 / $2,490.00	Facility		$1,151.24	$1,443.70	$2,490.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,185.80 / $2,915.13 / $4,787.80	Professional		$2,185.80	$2,915.13	$4,787.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,373.52 / $11,130.08 / $11,130.08	Facility		$1,373.52	$11,130.08	$11,130.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,036.18 / $5,649.40 / $8,760.76	Professional		$2,036.18	$5,649.40	$8,760.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,232.55 / $4,232.55 / $4,232.55	Professional		$4,232.55	$4,232.55	$4,232.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,827.69 / $5,778.59 / $5,778.59	Professional		$3,827.69	$5,778.59	$5,778.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $6,032.00 / $19,003.00	Facility		$2,203.00	$6,032.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.46 / $2,411.34 / $5,098.58	Professional		$1,221.46	$2,411.34	$5,098.58