Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.12 / $1,567.89 / $14,482.00	Facility		$754.12	$1,567.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.12 / $779.11 / $3,436.34	Professional		$754.12	$779.11	$3,436.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $725.05 / $1,740.27 / $4,788.66	Professional		$725.05	$1,740.27	$4,788.66
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 $2,010.40 / $2,349.31 / $3,603.90	Facility		$2,010.40	$2,349.31	$3,603.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.72 / $3,053.25 / $3,469.60	Professional		$1,182.72	$3,053.25	$3,469.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $754.12 / $1,015.07 / $1,666.61	Facility		$754.12	$1,015.07	$1,666.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $754.12 / $1,464.71 / $8,384.00	Facility		$754.12	$1,464.71	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $842.95 / $1,580.61 / $5,642.56	Professional		$842.95	$1,580.61	$5,642.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $449.19 / $1,448.14	Professional		$66.47	$449.19	$1,448.14
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $754.12 / $944.20 / $1,666.61	Facility		$754.12	$944.20	$1,666.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,491.10 / $1,816.85 / $2,712.20	Professional		$1,491.10	$1,816.85	$2,712.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,994.41 / $5,994.41 / $16,547.20	Facility		$5,994.41	$5,994.41	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,428.48 / $3,594.50 / $5,642.56	Professional		$1,428.48	$3,594.50	$5,642.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,504.02 / $2,504.02 / $2,504.02	Professional		$2,504.02	$2,504.02	$2,504.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,336.50 / $4,247.16 / $4,859.04	Professional		$2,336.50	$4,247.16	$4,859.04
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 $813.86 / $1,574.39 / $3,449.50	Professional		$813.86	$1,574.39	$3,449.50