Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,138.45 / $3,138.45 / $3,138.45	Facility		$3,138.45	$3,138.45	$3,138.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,138.45 / $3,579.01 / $9,123.89	Professional		$3,138.45	$3,579.01	$9,123.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $11,302.00 / $14,586.00	Facility		$10,878.00	$11,302.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,476.96 / $5,171.91 / $11,190.71	Professional		$2,476.96	$5,171.91	$11,190.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,171.46 / $1,368.94 / $2,099.98	Facility		$1,171.46	$1,368.94	$2,099.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.11 / $1,607.33 / $2,821.49	Professional		$523.11	$1,607.33	$2,821.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $408.23 / $2,317.46 / $9,265.10	Facility		$408.23	$2,317.46	$9,265.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $506.11 / $8,431.00 / $15,743.00	Facility		$506.11	$8,431.00	$15,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.21 / $1,057.99 / $20,170.37	Professional		$452.21	$1,057.99	$20,170.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $70.00 / $7,891.95	Professional		$55.00	$70.00	$7,891.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $408.23 / $2,235.82 / $7,933.82	Facility		$408.23	$2,235.82	$7,933.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,048.43 / $9,265.24 / $12,920.60	Professional		$5,048.43	$9,265.24	$12,920.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21,409.68 / $21,409.68 / $21,409.68	Facility		$21,409.68	$21,409.68	$21,409.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,821.49 / $14,710.86 / $20,170.37	Professional		$2,821.49	$14,710.86	$20,170.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $732.39 / $732.39 / $2,507.96	Professional		$732.39	$732.39	$2,507.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,799.00 / $13,980.00	Facility		$7,301.00	$11,799.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.68 / $1,057.99 / $2,986.18	Professional		$455.68	$1,057.99	$2,986.18