Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.31 / $2,991.74 / $14,482.00	Facility		$1,227.31	$2,991.74	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.05 / $1,227.31 / $3,811.85	Professional		$784.05	$1,227.31	$3,811.85
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 $747.81 / $1,584.62 / $3,721.93	Professional		$747.81	$1,584.62	$3,721.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,169.00 / $2,534.64 / $4,088.29	Facility		$2,169.00	$2,534.64	$4,088.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $931.80 / $1,976.70 / $2,950.11	Professional		$931.80	$1,976.70	$2,950.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $746.07 / $1,046.93 / $1,666.19	Facility		$746.07	$1,046.93	$1,666.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $791.49 / $4,240.00 / $11,598.00	Facility		$791.49	$4,240.00	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $749.51 / $1,586.34 / $7,512.52	Professional		$749.51	$1,586.34	$7,512.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $456.10 / $1,340.63	Professional		$62.75	$456.10	$1,340.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $746.07 / $1,046.93 / $1,680.00	Facility		$746.07	$1,046.93	$1,680.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,449.60 / $1,913.47 / $2,716.07	Professional		$1,449.60	$1,913.47	$2,716.07
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 $1,349.73 / $3,811.85 / $7,512.52	Professional		$1,349.73	$3,811.85	$7,512.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,845.37 / $3,845.37 / $3,845.37	Professional		$3,845.37	$3,845.37	$3,845.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,914.87 / $4,965.27 / $7,929.83	Professional		$2,914.87	$4,965.27	$7,929.83
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 $749.51 / $1,586.34 / $3,400.17	Professional		$749.51	$1,586.34	$3,400.17