Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.41 / $3,593.92 / $14,482.00	Facility		$1,473.41	$3,593.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.97 / $1,473.41 / $3,809.02	Professional		$934.97	$1,473.41	$3,809.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $932.54 / $1,902.38 / $4,600.66	Professional		$932.54	$1,902.38	$4,600.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,601.53 / $3,040.10 / $4,903.57	Facility		$2,601.53	$3,040.10	$4,903.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.31 / $2,370.23 / $3,544.09	Professional		$1,117.31	$2,370.23	$3,544.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $903.90 / $1,322.69 / $1,998.15	Facility		$903.90	$1,322.69	$1,998.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $934.97 / $1,433.98 / $2,730.00	Facility		$934.97	$1,433.98	$2,730.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $936.43 / $1,965.94 / $7,307.36	Professional		$936.43	$1,965.94	$7,307.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $559.23 / $1,653.80	Professional		$91.28	$559.23	$1,653.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $903.90 / $1,322.69 / $2,268.46	Facility		$903.90	$1,322.69	$2,268.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,741.80 / $2,299.17 / $3,263.55	Professional		$1,741.80	$2,299.17	$3,263.55
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,887.55 / $6,887.55 / $6,887.55	Facility		$6,887.55	$6,887.55	$6,887.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,621.49 / $4,724.00 / $7,307.36	Professional		$1,621.49	$4,724.00	$7,307.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,611.20 / $4,611.20 / $4,611.20	Professional		$4,611.20	$4,611.20	$4,611.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,086.95 / $5,954.13 / $9,526.37	Professional		$3,086.95	$5,954.13	$9,526.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,423.00 / $2,202.90	Facility		$1,008.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $942.03 / $1,875.18 / $4,140.59	Professional		$942.03	$1,875.18	$4,140.59