Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.94 / $3,119.00 / $14,482.00	Facility		$1,728.94	$3,119.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.20 / $1,546.78 / $3,978.42	Professional		$908.20	$1,546.78	$3,978.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.46 / $2,232.30 / $5,909.02	Professional		$1,099.46	$2,232.30	$5,909.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,045.79 / $3,559.24 / $5,740.93	Facility		$3,045.79	$3,559.24	$5,740.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,312.54 / $2,784.38 / $5,607.84	Professional		$1,312.54	$2,784.38	$5,607.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,114.13 / $1,637.20 / $2,275.64	Facility		$1,114.13	$1,637.20	$2,275.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,267.51 / $2,275.64 / $4,793.00	Facility		$1,267.51	$2,275.64	$4,793.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,106.08 / $2,277.76 / $8,009.05	Professional		$1,106.08	$2,277.76	$8,009.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $639.90 / $1,890.62	Professional		$115.96	$639.90	$1,890.62
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,114.13 / $1,637.20 / $2,346.96	Facility		$1,114.13	$1,637.20	$2,346.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,053.19 / $2,710.22 / $4,045.83	Professional		$2,053.19	$2,710.22	$4,045.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,431.94 / $9,431.94 / $9,431.94	Facility		$9,431.94	$9,431.94	$9,431.94
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,825.68 / $5,654.50 / $8,606.32	Professional		$1,825.68	$5,654.50	$8,606.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,404.39 / $5,404.39 / $5,404.39	Professional		$5,404.39	$5,404.39	$5,404.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,474.31 / $6,978.32 / $11,193.26	Professional		$4,474.31	$6,978.32	$11,193.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,068.00 / $4,985.00	Facility		$2,367.00	$3,068.00	$4,985.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.15 / $2,261.80 / $4,956.17	Professional		$1,144.15	$2,261.80	$4,956.17