Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.32 / $2,150.03 / $14,482.00	Facility		$951.32	$2,150.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.32 / $1,116.66 / $5,277.00	Professional		$951.32	$1,116.66	$5,277.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,720.00 / $15,579.70	Facility		$6,538.00	$9,720.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.85 / $2,329.77 / $6,099.84	Professional		$1,017.85	$2,329.77	$6,099.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,703.36 / $3,159.09 / $4,846.13	Facility		$2,703.36	$3,159.09	$4,846.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.31 / $4,033.24 / $4,583.22	Professional		$1,599.31	$4,033.24	$4,583.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $951.32 / $1,331.85 / $2,150.03	Facility		$951.32	$1,331.85	$2,150.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $955.57 / $1,485.45 / $13,250.00	Facility		$955.57	$1,485.45	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,152.93 / $2,094.86 / $7,842.88	Professional		$1,152.93	$2,094.86	$7,842.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $666.79 / $2,152.87	Professional		$95.26	$666.79	$2,152.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $951.32 / $1,228.07 / $2,150.03	Facility		$951.32	$1,228.07	$2,150.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,129.40 / $2,594.59 / $3,873.21	Professional		$2,129.40	$2,594.59	$3,873.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,348.38 / $6,348.38 / $17,524.30	Facility		$6,348.38	$6,348.38	$17,524.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,026.28 / $4,964.55 / $7,842.88	Professional		$2,026.28	$4,964.55	$7,842.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,596.64 / $3,596.64 / $3,596.64	Professional		$3,596.64	$3,596.64	$3,596.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,719.53 / $6,039.40 / $6,039.40	Professional		$1,719.53	$6,039.40	$6,039.40
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,102.54 / $1,985.82 / $4,468.10	Professional		$1,102.54	$1,985.82	$4,468.10