Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.26 / $1,961.80 / $13,367.00	Facility		$942.26	$1,961.80	$13,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.58 / $1,226.18 / $4,762.04	Professional		$929.58	$1,226.18	$4,762.04
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 $1,143.09 / $2,174.44 / $5,868.22	Professional		$1,143.09	$2,174.44	$5,868.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,995.29 / $5,995.29 / $5,995.29	Facility		$5,995.29	$5,995.29	$5,995.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,259.35 / $3,808.81 / $5,842.81	Facility		$3,259.35	$3,808.81	$5,842.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.66 / $3,452.40 / $5,612.21	Professional		$1,357.66	$3,452.40	$5,612.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $942.26 / $1,434.63 / $2,599.50	Facility		$942.26	$1,434.63	$2,599.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $967.23 / $1,839.27 / $12,202.00	Facility		$967.23	$1,839.27	$12,202.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,254.26 / $2,656.96 / $11,980.42	Professional		$1,254.26	$2,656.96	$11,980.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $710.55 / $2,291.60	Professional		$95.42	$710.55	$2,291.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $942.26 / $1,434.21 / $2,599.50	Facility		$942.26	$1,434.21	$2,599.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,049.12 / $2,878.33 / $4,102.21	Professional		$2,049.12	$2,878.33	$4,102.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,677.09 / $8,677.09 / $8,869.28	Facility		$8,677.09	$8,677.09	$8,869.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,014.64 / $5,198.89 / $11,980.42	Professional		$2,014.64	$5,198.89	$11,980.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,997.78 / $2,997.78 / $3,872.30	Professional		$2,997.78	$2,997.78	$3,872.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,879.37 / $6,065.26 / $7,859.69	Professional		$2,879.37	$6,065.26	$7,859.69
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,220.69 / $2,147.25 / $5,286.00	Professional		$1,220.69	$2,147.25	$5,286.00