Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.02 / $830.32 / $6,461.00	Facility		$395.02	$830.32	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.02 / $538.65 / $1,986.57	Professional		$395.02	$538.65	$1,986.57
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 $471.02 / $911.58 / $2,372.76	Professional		$471.02	$911.58	$2,372.76
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 $1,453.51 / $1,698.54 / $2,605.60	Facility		$1,453.51	$1,698.54	$2,605.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.62 / $1,464.20 / $2,494.31	Professional		$642.62	$1,464.20	$2,494.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $406.69 / $637.17 / $1,126.34	Facility		$406.69	$637.17	$1,126.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.07 / $750.90 / $7,160.00	Facility		$407.07	$750.90	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $513.91 / $1,105.51 / $4,044.32	Professional		$513.91	$1,105.51	$4,044.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $449.64 / $1,184.27	Professional		$31.53	$449.64	$1,184.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $395.02 / $633.09 / $1,126.34	Facility		$395.02	$633.09	$1,126.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $903.65 / $1,274.96 / $1,858.30	Professional		$903.65	$1,274.96	$1,858.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,848.62 / $2,848.62 / $5,994.41	Facility		$2,848.62	$2,848.62	$5,994.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $2,310.62 / $4,044.32	Professional		$840.65	$2,310.62	$4,044.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,304.75 / $1,304.75 / $1,780.06	Professional		$1,304.75	$1,304.75	$1,780.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.46 / $2,563.42 / $3,493.20	Professional		$1,288.46	$2,563.42	$3,493.20
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.91 / $982.59 / $2,191.55	Professional		$513.91	$982.59	$2,191.55