Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,843.23 / $4,479.41 / $14,482.00	Facility		$1,843.23	$4,479.41	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,146.58 / $1,843.23 / $5,722.70	Professional		$1,146.58	$1,843.23	$5,722.70
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 $1,121.25 / $2,368.19 / $5,589.77	Professional		$1,121.25	$2,368.19	$5,589.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,253.94 / $3,802.49 / $6,133.28	Facility		$3,253.94	$3,802.49	$6,133.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,394.21 / $2,957.63 / $4,429.20	Professional		$1,394.21	$2,957.63	$4,429.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,117.06 / $1,569.75 / $2,320.50	Facility		$1,117.06	$1,569.75	$2,320.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,178.70 / $4,608.08 / $11,598.00	Facility		$1,178.70	$4,608.08	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,117.06 / $2,335.38 / $9,126.08	Professional		$1,117.06	$2,335.38	$9,126.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.62 / $691.45 / $2,011.26	Professional		$123.62	$691.45	$2,011.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,117.06 / $1,569.75 / $2,492.96	Facility		$1,117.06	$1,569.75	$2,492.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,864.66 / $4,066.23	Professional		$2,170.19	$2,864.66	$4,066.23
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 $2,026.43 / $5,722.70 / $9,126.08	Professional		$2,026.43	$5,722.70	$9,126.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5,782.30 / $5,782.30 / $5,782.30	Professional		$5,782.30	$5,782.30	$5,782.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,245.34 / $7,466.30 / $11,905.46	Professional		$4,245.34	$7,466.30	$11,905.46
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 $1,143.41 / $2,289.08 / $5,015.95	Professional		$1,143.41	$2,289.08	$5,015.95