Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.84 / $3,023.03 / $14,482.00	Facility		$1,625.84	$3,023.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,385.96 / $1,625.84 / $4,358.18	Professional		$1,385.96	$1,625.84	$4,358.18
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 $1,441.56 / $3,335.06 / $8,610.27	Professional		$1,441.56	$3,335.06	$8,610.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,796.42 / $4,436.42 / $6,805.57	Facility		$3,796.42	$4,436.42	$6,805.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $5,071.32 / $6,040.50	Professional		$1,666.39	$5,071.32	$6,040.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,445.04 / $1,834.62 / $2,951.18	Facility		$1,445.04	$1,834.62	$2,951.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.04 / $2,060.88 / $4,821.00	Facility		$1,445.04	$2,060.88	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,545.46 / $3,417.82 / $11,094.64	Professional		$1,545.46	$3,417.82	$11,094.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $1,027.85 / $3,150.94	Professional		$114.54	$1,027.85	$3,150.94
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,445.04 / $1,834.62 / $2,951.18	Facility		$1,445.04	$1,834.62	$2,951.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,780.40 / $3,708.13 / $6,110.87	Professional		$2,780.40	$3,708.13	$6,110.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,742.32 / $12,404.63 / $12,404.63	Facility		$1,742.32	$12,404.63	$12,404.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,462.96 / $7,220.95 / $11,094.64	Professional		$2,462.96	$7,220.95	$11,094.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,429.18 / $5,429.18 / $5,429.18	Professional		$5,429.18	$5,429.18	$5,429.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,883.88 / $7,375.48 / $7,375.48	Professional		$4,883.88	$7,375.48	$7,375.48
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 $1,553.61 / $3,263.68 / $6,592.73	Professional		$1,553.61	$3,263.68	$6,592.73