Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.52 / $2,236.75 / $14,482.00	Facility		$1,173.52	$2,236.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.76 / $1,173.52 / $3,649.70	Professional		$1,113.76	$1,173.52	$3,649.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,979.00 / $13,152.00	Facility		$5,060.00	$7,979.00	$13,152.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.95 / $2,858.54 / $6,312.69	Professional		$1,076.95	$2,858.54	$6,312.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,805.19 / $3,278.08 / $5,287.43	Facility		$2,805.19	$3,278.08	$5,287.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,481.22 / $3,397.15 / $4,489.72	Professional		$1,481.22	$3,397.15	$4,489.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,093.52 / $1,373.02 / $2,137.34	Facility		$1,093.52	$1,373.02	$2,137.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,173.52 / $2,203.00 / $7,700.00	Facility		$1,173.52	$2,203.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,276.59 / $2,628.64 / $5,790.31	Professional		$1,276.59	$2,628.64	$5,790.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $882.25 / $2,291.33	Professional		$85.00	$882.25	$2,291.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,093.52 / $1,373.02 / $2,137.34	Facility		$1,093.52	$1,373.02	$2,137.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,131.35 / $3,291.13 / $3,876.76	Professional		$2,131.35	$3,291.13	$3,876.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,911.49 / $8,911.49 / $8,911.49	Facility		$8,911.49	$8,911.49	$8,911.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,513.89 / $5,347.55 / $8,134.08	Professional		$1,513.89	$5,347.55	$8,134.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,977.53 / $2,977.53 / $2,977.53	Professional		$2,977.53	$2,977.53	$2,977.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,129.46 / $5,259.51 / $5,259.51	Professional		$3,129.46	$5,259.51	$5,259.51
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 $1,216.07 / $2,466.29 / $5,228.51	Professional		$1,216.07	$2,466.29	$5,228.51