Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.58 / $2,637.00 / $14,482.00	Facility		$1,206.58	$2,637.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.02 / $1,206.58 / $4,398.45	Professional		$1,101.02	$1,206.58	$4,398.45
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 $1,216.14 / $3,365.02 / $7,048.40	Professional		$1,216.14	$3,365.02	$7,048.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,403.53 / $3,977.29 / $6,415.23	Facility		$3,403.53	$3,977.29	$6,415.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,746.27 / $3,716.03 / $5,395.97	Professional		$1,746.27	$3,716.03	$5,395.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,206.58 / $1,702.60 / $2,519.80	Facility		$1,206.58	$1,702.60	$2,519.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,232.66 / $5,266.00 / $15,126.00	Facility		$1,232.66	$5,266.00	$15,126.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,424.02 / $3,023.45 / $8,040.32	Professional		$1,424.02	$3,023.45	$8,040.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $812.07 / $2,604.85	Professional		$95.42	$812.07	$2,604.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,206.58 / $1,702.60 / $2,519.80	Facility		$1,206.58	$1,702.60	$2,519.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,507.05 / $3,857.00 / $4,560.13	Professional		$2,507.05	$3,857.00	$4,560.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16,547.20 / $16,547.20 / $16,547.20	Facility		$16,547.20	$16,547.20	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,801.04 / $6,046.90 / $9,546.16	Professional		$1,801.04	$6,046.90	$9,546.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,601.57 / $3,601.57 / $3,601.57	Professional		$3,601.57	$3,601.57	$3,601.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,022.04 / $7,258.73 / $7,258.73	Professional		$4,022.04	$7,258.73	$7,258.73
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,608.00 / $13,980.00	Facility		$7,217.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,293.08 / $2,648.54 / $5,819.52	Professional		$1,293.08	$2,648.54	$5,819.52