Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.67 / $1,740.65 / $14,482.00	Facility		$1,014.67	$1,740.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.04 / $1,014.67 / $3,042.68	Professional		$702.04	$1,014.67	$3,042.68
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 $819.85 / $2,139.98 / $3,757.43	Professional		$819.85	$2,139.98	$3,757.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.54 / $2,571.50 / $4,147.74	Facility		$2,200.54	$2,571.50	$4,147.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,199.11 / $2,524.05 / $2,912.06	Professional		$1,199.11	$2,524.05	$2,912.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $850.98 / $1,147.79 / $1,694.61	Facility		$850.98	$1,147.79	$1,694.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $928.34 / $2,429.00 / $7,700.00	Facility		$928.34	$2,429.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $994.68 / $2,109.38 / $4,129.74	Professional		$994.68	$2,109.38	$4,129.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $497.67 / $1,685.76	Professional		$117.62	$497.67	$1,685.76
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $850.98 / $1,147.79 / $1,694.61	Facility		$850.98	$1,147.79	$1,694.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,767.35 / $2,443.84 / $3,087.70	Professional		$1,767.35	$2,443.84	$3,087.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,292.32 / $7,292.32 / $7,292.32	Facility		$7,292.32	$7,292.32	$7,292.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,236.49 / $4,130.89 / $6,480.56	Professional		$1,236.49	$4,130.89	$6,480.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,582.00 / $1,582.00 / $1,582.00	Professional		$1,582.00	$1,582.00	$1,582.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.94 / $2,660.48 / $2,660.48	Professional		$1,561.94	$2,660.48	$2,660.48
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 $936.89 / $1,809.33 / $3,609.45	Professional		$936.89	$1,809.33	$3,609.45