Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,142.04 / $2,548.08 / $14,482.00	Facility		$1,142.04	$2,548.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,142.04 / $1,284.85 / $4,813.04	Professional		$1,142.04	$1,284.85	$4,813.04
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 $1,206.33 / $2,796.84 / $7,050.13	Professional		$1,206.33	$2,796.84	$7,050.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,206.19 / $3,746.68 / $5,747.50	Facility		$3,206.19	$3,746.68	$5,747.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.34 / $4,782.89 / $5,435.11	Professional		$1,870.34	$4,782.89	$5,435.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,142.04 / $1,695.60 / $2,548.08	Facility		$1,142.04	$1,695.60	$2,548.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,142.04 / $1,878.44 / $13,250.00	Facility		$1,142.04	$1,878.44	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,368.95 / $2,477.76 / $9,269.60	Professional		$1,368.95	$2,477.76	$9,269.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $775.26 / $2,477.45	Professional		$123.62	$775.26	$2,477.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,142.04 / $1,688.86 / $2,548.08	Facility		$1,142.04	$1,688.86	$2,548.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,490.15 / $3,034.15 / $4,529.39	Professional		$2,490.15	$3,034.15	$4,529.39
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 $2,402.90 / $6,025.15 / $9,269.60	Professional		$2,402.90	$6,025.15	$9,269.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,302.31 / $4,302.31 / $4,302.31	Professional		$4,302.31	$4,302.31	$4,302.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,098.16 / $6,953.31 / $7,161.92	Professional		$4,098.16	$6,953.31	$7,161.92
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,733.00 / $16,374.85	Facility		$7,301.00	$11,733.00	$16,374.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,363.53 / $2,410.06 / $5,422.64	Professional		$1,363.53	$2,410.06	$5,422.64