Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,465.38 / $3,535.34 / $14,482.00	Facility		$1,465.38	$3,535.34	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.03 / $1,465.38 / $4,390.85	Professional		$908.03	$1,465.38	$4,390.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.15 / $1,892.00 / $4,443.89	Professional		$841.15	$1,892.00	$4,443.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,591.62 / $3,028.51 / $4,884.89	Facility		$2,591.62	$3,028.51	$4,884.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,105.64 / $2,345.48 / $3,508.90	Professional		$1,105.64	$2,345.48	$3,508.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $881.63 / $1,179.28 / $1,758.46	Facility		$881.63	$1,179.28	$1,758.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $929.97 / $4,240.00 / $11,598.00	Facility		$929.97	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $881.63 / $1,810.29 / $7,203.84	Professional		$881.63	$1,810.29	$7,203.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $531.33 / $1,591.90	Professional		$91.28	$531.33	$1,591.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $881.63 / $1,179.28 / $1,977.25	Facility		$881.63	$1,179.28	$1,977.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,713.00 / $2,261.16 / $3,209.59	Professional		$1,713.00	$2,261.16	$3,209.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,001.70 / $9,001.70 / $9,001.70	Facility		$9,001.70	$9,001.70	$9,001.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,605.39 / $4,390.85 / $7,203.84	Professional		$1,605.39	$4,390.85	$7,203.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,609.62 / $4,609.62 / $4,609.62	Professional		$4,609.62	$4,609.62	$4,609.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.70 / $5,952.09 / $9,431.78	Professional		$1,932.70	$5,952.09	$9,431.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,882.00 / $12,631.00	Facility		$6,241.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $923.49 / $1,756.34 / $3,848.58	Professional		$923.49	$1,756.34	$3,848.58