Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.28 / $1,543.93 / $14,482.00	Facility		$737.28	$1,543.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.45 / $737.28 / $3,504.94	Professional		$703.45	$737.28	$3,504.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.62 / $1,701.42 / $4,341.14	Professional		$736.62	$1,701.42	$4,341.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,669.32 / $2,669.32 / $2,669.32	Facility		$2,669.32	$2,669.32	$2,669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,951.83 / $2,280.86 / $3,498.90	Facility		$1,951.83	$2,280.86	$3,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,042.49 / $2,989.64 / $3,397.31	Professional		$1,042.49	$2,989.64	$3,397.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $730.19 / $1,032.19 / $1,715.48	Facility		$730.19	$1,032.19	$1,715.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.19 / $1,521.30 / $8,292.34	Facility		$730.19	$1,521.30	$8,292.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $791.35 / $1,473.93 / $7,022.15	Professional		$791.35	$1,473.93	$7,022.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $432.31 / $1,411.53	Professional		$66.47	$432.31	$1,411.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $730.19 / $1,031.27 / $1,715.48	Facility		$730.19	$1,031.27	$1,715.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,456.65 / $1,774.87 / $2,649.53	Professional		$1,456.65	$1,774.87	$2,649.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,865.24 / $2,865.24 / $7,909.30	Facility		$2,865.24	$2,865.24	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,398.73 / $3,666.25 / $7,022.15	Professional		$1,398.73	$3,666.25	$7,022.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,441.30 / $2,441.30 / $2,441.30	Professional		$2,441.30	$2,441.30	$2,441.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.43 / $3,761.76 / $4,757.85	Professional		$1,847.43	$3,761.76	$4,757.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.07 / $1,478.64 / $3,358.29	Professional		$791.07	$1,478.64	$3,358.29