Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.79 / $9,245.00 / $16,007.88	Facility		$1,705.79	$9,245.00	$16,007.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,181.35 / $1,550.11 / $3,540.02	Professional		$1,181.35	$1,550.11	$3,540.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,128.67 / $2,202.41 / $5,845.33	Professional		$1,128.67	$2,202.41	$5,845.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,002.53 / $3,508.70 / $5,659.40	Facility		$3,002.53	$3,508.70	$5,659.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,366.79 / $2,746.43 / $5,530.94	Professional		$1,366.79	$2,746.43	$5,530.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,100.44 / $1,668.29 / $2,250.60	Facility		$1,100.44	$1,668.29	$2,250.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,251.22 / $7,590.00 / $15,702.00	Facility		$1,251.22	$7,590.00	$15,702.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,226.72 / $2,277.80 / $7,917.70	Professional		$1,226.72	$2,277.80	$7,917.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $613.92 / $1,839.54	Professional		$115.96	$613.92	$1,839.54
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,100.44 / $1,616.15 / $2,315.53	Facility		$1,100.44	$1,616.15	$2,315.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,026.80 / $2,675.38 / $3,993.81	Professional		$2,026.80	$2,675.38	$3,993.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,879.05 / $11,879.05 / $11,879.05	Facility		$11,879.05	$11,879.05	$11,879.05
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $1,125.97 / $1,125.97 / $1,125.97	Facility	AS	$1,125.97	$1,125.97	$1,125.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,802.49 / $5,981.89 / $11,185.05	Professional		$1,802.49	$5,981.89	$11,185.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.52 / $8,155.02 / $11,039.72	Professional		$2,818.52	$8,155.02	$11,039.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,173.99 / $2,252.48 / $4,893.37	Professional		$1,173.99	$2,252.48	$4,893.37