Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.90 / $11,139.00 / $16,666.40	Facility		$1,774.90	$11,139.00	$16,666.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.67 / $1,604.90 / $5,272.98	Professional		$1,255.67	$1,604.90	$5,272.98
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 $1,175.38 / $2,291.64 / $6,397.56	Professional		$1,175.38	$2,291.64	$6,397.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,123.28 / $3,649.80 / $5,887.00	Facility		$3,123.28	$3,649.80	$5,887.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,423.81 / $2,859.45 / $5,755.21	Professional		$1,423.81	$2,859.45	$5,755.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,145.17 / $1,774.90 / $2,409.91	Facility		$1,145.17	$1,774.90	$2,409.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,302.60 / $7,217.00 / $14,978.00	Facility		$1,302.60	$7,217.00	$14,978.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,321.49 / $2,560.39 / $10,464.70	Professional		$1,321.49	$2,560.39	$10,464.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $667.40 / $1,963.05	Professional		$115.96	$667.40	$1,963.05
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,145.17 / $1,736.82 / $4,028.17	Facility		$1,145.17	$1,736.82	$4,028.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,110.80 / $2,786.26 / $4,159.33	Professional		$2,110.80	$2,786.26	$4,159.33
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 $1,955.27 / $6,338.27 / $10,464.70	Professional		$1,955.27	$6,338.27	$10,464.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,423.56 / $8,566.64 / $11,487.38	Professional		$5,423.56	$8,566.64	$11,487.38
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 $1,344.59 / $2,346.86 / $5,096.97	Professional		$1,344.59	$2,346.86	$5,096.97