Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.09 / $2,381.06 / $14,482.00	Facility		$1,015.09	$2,381.06	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,015.09 / $1,198.74 / $4,243.58	Professional		$1,015.09	$1,198.74	$4,243.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,241.00 / $22,519.00	Facility		$11,499.00	$16,241.00	$22,519.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,070.42 / $2,485.92 / $6,229.41	Professional		$1,070.42	$2,485.92	$6,229.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,993.52 / $3,498.17 / $5,366.28	Facility		$2,993.52	$3,498.17	$5,366.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,743.35 / $4,473.26 / $5,083.25	Professional		$1,743.35	$4,473.26	$5,083.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,015.09 / $1,508.58 / $2,512.00	Facility		$1,015.09	$1,508.58	$2,512.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,058.25 / $1,886.35 / $16,976.00	Facility		$1,058.25	$1,886.35	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,196.36 / $2,165.08 / $9,295.71	Professional		$1,196.36	$2,165.08	$9,295.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.01 / $995.62 / $2,565.62	Professional		$147.01	$995.62	$2,565.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,015.09 / $1,508.58 / $2,512.00	Facility		$1,015.09	$1,508.58	$2,512.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,462.19 / $3,000.10 / $4,478.55	Professional		$2,462.19	$3,000.10	$4,478.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15,720.65 / $15,720.65 / $15,720.65	Facility		$15,720.65	$15,720.65	$15,720.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,247.35 / $5,321.65 / $9,295.71	Professional		$2,247.35	$5,321.65	$9,295.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.48 / $3,801.48 / $3,801.48	Professional		$3,801.48	$3,801.48	$3,801.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,579.01 / $6,248.63 / $6,698.32	Professional		$3,579.01	$6,248.63	$6,698.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,165.54 / $2,067.79 / $4,789.49	Professional		$1,165.54	$2,067.79	$4,789.49