Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.23 / $2,706.61 / $14,482.00	Facility		$1,456.23	$2,706.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,239.41 / $1,456.23 / $3,383.73	Professional		$1,239.41	$1,456.23	$3,383.73
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 $1,289.21 / $2,987.13 / $7,627.04	Professional		$1,289.21	$2,987.13	$7,627.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,396.32 / $3,968.87 / $6,088.35	Facility		$3,396.32	$3,968.87	$6,088.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.42 / $4,521.77 / $5,413.68	Professional		$1,513.42	$4,521.77	$5,413.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,212.83 / $1,549.81 / $2,825.63	Facility		$1,212.83	$1,549.81	$2,825.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,237.80 / $1,793.93 / $4,821.00	Facility		$1,237.80	$1,793.93	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.27 / $3,152.88 / $9,959.52	Professional		$1,412.27	$3,152.88	$9,959.52
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 $1,212.83 / $1,564.88 / $2,825.63	Facility		$1,212.83	$1,564.88	$2,825.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,496.00 / $3,328.83 / $5,476.75	Professional		$2,496.00	$3,328.83	$5,476.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,568.87 / $12,724.88 / $12,724.88	Facility		$1,568.87	$12,724.88	$12,724.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,307.03 / $6,417.85 / $9,959.52	Professional		$2,307.03	$6,417.85	$9,959.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,802.04 / $4,802.04 / $4,802.04	Professional		$4,802.04	$4,802.04	$4,802.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,994.87 / $6,610.09 / $6,610.09	Professional		$3,994.87	$6,610.09	$6,610.09
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 $1,392.30 / $2,607.96 / $5,792.11	Professional		$1,392.30	$2,607.96	$5,792.11