Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.07 / $2,466.63 / $17,503.74	Facility		$1,132.07	$2,466.63	$17,503.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.84 / $1,132.07 / $4,031.33	Professional		$839.84	$1,132.07	$4,031.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $10,800.00 / $18,360.00	Facility		$6,538.00	$10,800.00	$18,360.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,162.16 / $3,097.90 / $6,969.52	Professional		$1,162.16	$3,097.90	$6,969.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,108.86 / $3,632.95 / $5,859.83	Facility		$3,108.86	$3,632.95	$5,859.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,192.56 / $3,551.09 / $4,947.85	Professional		$2,192.56	$3,551.09	$4,947.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,132.07 / $1,315.54 / $2,403.67	Facility		$1,132.07	$1,315.54	$2,403.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,136.45 / $2,505.29 / $7,700.00	Facility		$1,136.45	$2,505.29	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,376.02 / $3,037.40 / $7,056.11	Professional		$1,376.02	$3,037.40	$7,056.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $1,043.75 / $2,654.49	Professional		$85.00	$1,043.75	$2,654.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,132.07 / $1,324.52 / $2,403.67	Facility		$1,132.07	$1,324.52	$2,403.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,435.55 / $3,747.00 / $4,430.08	Professional		$2,435.55	$3,747.00	$4,430.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,907.54 / $15,907.54 / $15,907.54	Facility		$15,907.54	$15,907.54	$15,907.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,320.21 / $5,841.15 / $9,554.94	Professional		$2,320.21	$5,841.15	$9,554.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.56 / $5,248.56 / $5,248.56	Professional		$5,248.56	$5,248.56	$5,248.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,178.03 / $7,881.44 / $7,881.44	Professional		$4,178.03	$7,881.44	$7,881.44
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 $1,370.42 / $3,316.97 / $5,119.77	Professional		$1,370.42	$3,316.97	$5,119.77