Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.46 / $2,339.55 / $14,482.00	Facility		$1,152.46	$2,339.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.83 / $1,177.30 / $3,817.02	Professional		$1,080.83	$1,177.30	$3,817.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,705.54 / $18,141.00	Facility		$6,538.00	$10,705.54	$18,141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.49 / $2,988.37 / $7,788.34	Professional		$1,125.49	$2,988.37	$7,788.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,933.15 / $3,427.61 / $5,528.62	Facility		$2,933.15	$3,427.61	$5,528.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.30 / $3,553.30 / $4,695.88	Professional		$1,549.30	$3,553.30	$4,695.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,143.78 / $1,514.38 / $2,590.50	Facility		$1,143.78	$1,514.38	$2,590.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,152.46 / $2,590.50 / $7,700.00	Facility		$1,152.46	$2,590.50	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,331.66 / $3,077.17 / $7,717.37	Professional		$1,331.66	$3,077.17	$7,717.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $965.54 / $2,471.98	Professional		$85.00	$965.54	$2,471.98
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,152.46 / $1,575.69 / $2,590.50	Facility		$1,152.46	$1,575.69	$2,590.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,230.15 / $3,443.69 / $4,647.89	Professional		$2,230.15	$3,443.69	$4,647.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,655.20 / $10,655.20 / $10,655.20	Facility		$10,655.20	$10,655.20	$10,655.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,583.47 / $5,594.85 / $11,088.82	Professional		$1,583.47	$5,594.85	$11,088.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,834.33 / $5,834.33 / $5,834.33	Professional		$5,834.33	$5,834.33	$5,834.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,450.55 / $6,718.93 / $6,718.93	Professional		$5,450.55	$6,718.93	$6,718.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,328.07 / $3,422.56 / $5,493.17	Professional		$1,328.07	$3,422.56	$5,493.17