Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.70 / $2,089.78 / $14,482.00	Facility		$1,123.70	$2,089.78	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.42 / $1,123.70 / $3,005.13	Professional		$958.42	$1,123.70	$3,005.13
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 $993.48 / $2,305.02 / $5,945.09	Professional		$993.48	$2,305.02	$5,945.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.37 / $3,073.79 / $4,715.28	Facility		$2,630.37	$3,073.79	$4,715.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.03 / $3,505.43 / $4,181.59	Professional		$1,171.03	$3,505.43	$4,181.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,014.15 / $1,301.97 / $2,170.62	Facility		$1,014.15	$1,301.97	$2,170.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $996.93 / $1,452.23 / $4,821.00	Facility		$996.93	$1,452.23	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,094.58 / $2,410.42 / $7,675.60	Professional		$1,094.58	$2,410.42	$7,675.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $711.94 / $2,193.08	Professional		$65.00	$711.94	$2,193.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,014.15 / $1,300.31 / $2,170.62	Facility		$1,014.15	$1,300.31	$2,170.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,920.60 / $2,561.44 / $4,230.30	Professional		$1,920.60	$2,561.44	$4,230.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $9,808.48 / $9,808.48	Facility		$1,204.00	$9,808.48	$9,808.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,778.79 / $4,975.35 / $7,675.60	Professional		$1,778.79	$4,975.35	$7,675.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,748.68 / $3,748.68 / $3,748.68	Professional		$3,748.68	$3,748.68	$3,748.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,376.15 / $5,105.70 / $5,105.70	Professional		$3,376.15	$5,105.70	$5,105.70
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 $1,062.47 / $2,087.96 / $4,507.67	Professional		$1,062.47	$2,087.96	$4,507.67