Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.94 / $2,372.85 / $14,482.00	Facility		$1,265.94	$2,372.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.80 / $1,265.94 / $3,924.23	Professional		$1,028.80	$1,265.94	$3,924.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,111.18 / $3,070.40 / $6,432.98	Professional		$1,111.18	$3,070.40	$6,432.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,009.74 / $3,517.12 / $5,672.99	Facility		$3,009.74	$3,517.12	$5,672.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,740.09 / $3,442.32 / $4,770.33	Professional		$1,740.09	$3,442.32	$4,770.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,054.59 / $1,265.94 / $2,299.25	Facility		$1,054.59	$1,265.94	$2,299.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,160.06 / $4,103.00 / $8,783.00	Facility		$1,160.06	$4,103.00	$8,783.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,334.02 / $2,822.80 / $5,549.01	Professional		$1,334.02	$2,822.80	$5,549.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $714.03 / $2,319.18	Professional		$95.64	$714.03	$2,319.18
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,054.59 / $1,265.94 / $2,299.25	Facility		$1,054.59	$1,265.94	$2,299.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,298.40 / $3,536.00 / $4,180.60	Professional		$2,298.40	$3,536.00	$4,180.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,899.50 / $10,899.50 / $10,899.50	Facility		$10,899.50	$10,899.50	$10,899.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,795.12 / $5,645.60 / $9,930.27	Professional		$1,795.12	$5,645.60	$9,930.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,892.10 / $2,892.10 / $2,892.10	Professional		$2,892.10	$2,892.10	$2,892.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,928.48 / $6,288.50 / $6,288.50	Professional		$2,928.48	$6,288.50	$6,288.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,911.72 / $6,477.00 / $8,384.00	Facility		$3,911.72	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,304.99 / $3,374.21 / $4,948.37	Professional		$1,304.99	$3,374.21	$4,948.37