Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,370.56 / $3,065.63 / $14,482.00	Facility		$1,370.56	$3,065.63	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.56 / $1,612.30 / $5,159.72	Professional		$1,370.56	$1,612.30	$5,159.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,499.00 / $16,401.00 / $25,162.36	Facility		$11,499.00	$16,401.00	$25,162.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,438.66 / $3,356.48 / $8,445.87	Professional		$1,438.66	$3,356.48	$8,445.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,849.58 / $4,498.54 / $6,900.88	Facility		$3,849.58	$4,498.54	$6,900.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,272.51 / $5,763.51 / $6,549.44	Professional		$2,272.51	$5,763.51	$6,549.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,370.56 / $2,055.84 / $3,320.09	Facility		$1,370.56	$2,055.84	$3,320.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,370.56 / $2,227.48 / $5,887.00	Facility		$1,370.56	$2,227.48	$5,887.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,656.87 / $2,928.22 / $11,352.24	Professional		$1,656.87	$2,928.22	$11,352.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $989.70 / $3,196.32	Professional		$137.33	$989.70	$3,196.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,370.56 / $2,043.75 / $3,320.09	Facility		$1,370.56	$2,043.75	$3,320.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,183.70 / $3,879.22 / $5,790.91	Professional		$3,183.70	$3,879.22	$5,790.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,623.27 / $16,623.27 / $16,623.27	Facility		$16,623.27	$16,623.27	$16,623.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,895.55 / $7,143.35 / $11,352.24	Professional		$2,895.55	$7,143.35	$11,352.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,154.04 / $5,154.04 / $5,154.04	Professional		$5,154.04	$5,154.04	$5,154.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,840.51 / $8,312.51 / $8,630.32	Professional		$4,840.51	$8,312.51	$8,630.32
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 $1,656.87 / $2,928.22 / $6,429.02	Professional		$1,656.87	$2,928.22	$6,429.02