Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.20 / $2,666.05 / $14,482.00	Facility		$1,086.20	$2,666.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.20 / $1,086.20 / $3,511.50	Professional		$698.20	$1,086.20	$3,511.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.47 / $1,402.44 / $3,659.92	Professional		$687.47	$1,402.44	$3,659.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,916.68 / $2,239.79 / $3,612.71	Facility		$1,916.68	$2,239.79	$3,612.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.82 / $1,754.78 / $3,524.26	Professional		$847.82	$1,754.78	$3,524.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $664.85 / $989.07 / $1,479.54	Facility		$664.85	$989.07	$1,479.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $721.28 / $4,240.00 / $11,598.00	Facility		$721.28	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $683.11 / $1,461.35 / $5,403.04	Professional		$683.11	$1,461.35	$5,403.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $421.79 / $1,231.50	Professional		$62.75	$421.79	$1,231.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $664.85 / $989.07 / $1,897.78	Facility		$664.85	$989.07	$1,897.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,292.40 / $1,705.97 / $2,546.67	Professional		$1,292.40	$1,705.97	$2,546.67
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 $1,197.33 / $3,511.50 / $5,403.04	Professional		$1,197.33	$3,511.50	$5,403.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,393.51 / $3,393.51 / $3,393.51	Professional		$3,393.51	$3,393.51	$3,393.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,768.50 / $4,381.81 / $7,034.41	Professional		$2,768.50	$4,381.81	$7,034.41
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,837.00 / $12,062.00	Facility		$6,073.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.85 / $1,409.38 / $3,132.26	Professional		$702.85	$1,409.38	$3,132.26