Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,178.06 / $3,915.32 / $14,482.00	Facility		$1,178.06	$3,915.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.16 / $1,178.06 / $3,145.66	Professional		$1,005.16	$1,178.06	$3,145.66
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 $1,043.13 / $2,416.52 / $6,231.71	Professional		$1,043.13	$2,416.52	$6,231.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,757.43 / $3,222.27 / $4,943.05	Facility		$2,757.43	$3,222.27	$4,943.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,212.29 / $3,680.22 / $4,382.04	Professional		$1,212.29	$3,680.22	$4,382.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,032.85 / $1,328.85 / $2,243.48	Facility		$1,032.85	$1,328.85	$2,243.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,043.70 / $1,499.33 / $5,728.00	Facility		$1,043.70	$1,499.33	$5,728.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,124.83 / $2,409.06 / $8,085.69	Professional		$1,124.83	$2,409.06	$8,085.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $986.56 / $2,372.25	Professional		$94.16	$986.56	$2,372.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,025.65 / $1,327.32 / $2,241.15	Facility		$1,025.65	$1,327.32	$2,241.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,017.80 / $2,691.07 / $4,433.09	Professional		$2,017.80	$2,691.07	$4,433.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,259.90 / $7,704.66 / $7,704.66	Facility		$1,259.90	$7,704.66	$7,704.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,743.68 / $5,223.45 / $8,085.69	Professional		$1,743.68	$5,223.45	$8,085.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,929.40 / $3,929.40 / $3,929.40	Professional		$3,929.40	$3,929.40	$3,929.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,549.18 / $5,350.47 / $5,350.47	Professional		$3,549.18	$5,350.47	$5,350.47
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 $1,061.32 / $2,078.10 / $4,714.16	Professional		$1,061.32	$2,078.10	$4,714.16