Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,430.61 / $2,659.36 / $14,482.00	Facility		$1,430.61	$2,659.36	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.75 / $1,430.61 / $3,845.82	Professional		$1,217.75	$1,430.61	$3,845.82
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 $1,274.06 / $2,934.59 / $7,567.12	Professional		$1,274.06	$2,934.59	$7,567.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,337.75 / $3,900.42 / $5,983.35	Facility		$3,337.75	$3,900.42	$5,983.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,486.93 / $4,453.53 / $5,319.10	Professional		$1,486.93	$4,453.53	$5,319.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,297.45 / $1,654.72 / $2,593.50	Facility		$1,297.45	$1,654.72	$2,593.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,273.34 / $1,783.68 / $4,821.00	Facility		$1,273.34	$1,783.68	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,391.34 / $3,075.49 / $9,785.04	Professional		$1,391.34	$3,075.49	$9,785.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.10 / $1,200.86 / $2,935.29	Professional		$119.10	$1,200.86	$2,935.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,286.84 / $1,621.84 / $2,593.50	Facility		$1,286.84	$1,621.84	$2,593.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,452.19 / $3,270.42 / $5,381.07	Professional		$2,452.19	$3,270.42	$5,381.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,541.29 / $12,503.20 / $12,503.20	Facility		$1,541.29	$12,503.20	$12,503.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,282.86 / $6,370.95 / $9,785.04	Professional		$2,282.86	$6,370.95	$9,785.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,771.43 / $4,771.43 / $4,771.43	Professional		$4,771.43	$4,771.43	$4,771.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,300.11 / $6,494.67 / $6,494.67	Professional		$3,300.11	$6,494.67	$6,494.67
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 $1,348.82 / $2,673.63 / $5,749.78	Professional		$1,348.82	$2,673.63	$5,749.78