Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.96 / $2,509.96 / $14,482.00	Facility		$1,346.96	$2,509.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.09 / $1,346.96 / $3,614.26	Professional		$1,101.09	$1,346.96	$3,614.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,929.10 / $13,152.00	Facility		$5,060.00	$7,929.10	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,190.71 / $2,763.00 / $7,125.21	Professional		$1,190.71	$2,763.00	$7,125.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,144.91 / $3,675.07 / $5,637.66	Facility		$3,144.91	$3,675.07	$5,637.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.91 / $4,206.18 / $5,007.80	Professional		$1,390.91	$4,206.18	$5,007.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,197.49 / $1,524.98 / $2,448.55	Facility		$1,197.49	$1,524.98	$2,448.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,197.49 / $1,703.93 / $4,821.00	Facility		$1,197.49	$1,703.93	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,262.53 / $2,827.24 / $9,204.79	Professional		$1,262.53	$2,827.24	$9,204.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $856.15 / $2,629.56	Professional		$90.40	$856.15	$2,629.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,197.49 / $1,520.26 / $2,448.55	Facility		$1,197.49	$1,520.26	$2,448.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,310.60 / $3,081.57 / $5,066.14	Professional		$2,310.60	$3,081.57	$5,066.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,447.58 / $10,291.19 / $10,291.19	Facility		$1,447.58	$10,291.19	$10,291.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,121.06 / $5,973.20 / $9,204.79	Professional		$2,121.06	$5,973.20	$9,204.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,492.77 / $4,492.77 / $4,492.77	Professional		$4,492.77	$4,492.77	$4,492.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,960.98 / $6,114.54 / $6,114.54	Professional		$3,960.98	$6,114.54	$6,114.54
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 $1,245.66 / $2,616.26 / $5,390.81	Professional		$1,245.66	$2,616.26	$5,390.81