Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.08 / $2,209.34 / $14,482.00	Facility		$1,176.08	$2,209.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $946.28 / $1,176.08 / $3,553.05	Professional		$946.28	$1,176.08	$3,553.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $11,015.00 / $15,810.00	Facility		$6,538.00	$11,015.00	$15,810.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,022.68 / $2,804.23 / $5,834.62	Professional		$1,022.68	$2,804.23	$5,834.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,806.99 / $3,280.19 / $5,290.83	Facility		$2,806.99	$3,280.19	$5,290.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.18 / $3,195.56 / $4,461.09	Professional		$1,620.18	$3,195.56	$4,461.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,080.11 / $1,319.44 / $2,111.15	Facility		$1,080.11	$1,319.44	$2,111.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,176.08 / $2,167.54 / $7,700.00	Facility		$1,176.08	$2,167.54	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,207.83 / $2,558.33 / $5,155.13	Professional		$1,207.83	$2,558.33	$5,155.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.62 / $862.86 / $2,254.96	Professional		$111.62	$862.86	$2,254.96
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,080.11 / $1,319.44 / $2,111.15	Facility		$1,080.11	$1,319.44	$2,111.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,109.90 / $3,174.35 / $3,837.75	Professional		$2,109.90	$3,174.35	$3,837.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,866.20 / $8,866.20 / $8,866.20	Facility		$8,866.20	$8,866.20	$8,866.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,666.44 / $5,116.64 / $8,054.08	Professional		$1,666.44	$5,116.64	$8,054.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,687.15 / $2,687.15 / $2,687.15	Professional		$2,687.15	$2,687.15	$2,687.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,632.95 / $5,837.69 / $5,837.69	Professional		$2,632.95	$5,837.69	$5,837.69
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 $1,207.83 / $3,053.94 / $4,484.74	Professional		$1,207.83	$3,053.94	$4,484.74