Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.37 / $1,290.86 / $14,482.00	Facility		$609.37	$1,290.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.66 / $638.16 / $2,833.92	Professional		$582.66	$638.16	$2,833.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.23 / $1,318.54 / $3,732.29	Professional		$590.23	$1,318.54	$3,732.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,633.73 / $1,909.14 / $2,928.67	Facility		$1,633.73	$1,909.14	$2,928.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $925.07 / $2,497.61 / $2,838.19	Professional		$925.07	$2,497.61	$2,838.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $609.37 / $787.50 / $1,291.85	Facility		$609.37	$787.50	$1,291.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $609.37 / $1,222.60 / $11,598.00	Facility		$609.37	$1,222.60	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $676.74 / $1,277.00 / $4,655.76	Professional		$676.74	$1,277.00	$4,655.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $386.54 / $1,223.77	Professional		$66.47	$386.54	$1,223.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $609.37 / $785.43 / $1,291.85	Facility		$609.37	$785.43	$1,291.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,251.25 / $1,524.60 / $2,275.92	Professional		$1,251.25	$1,524.60	$2,275.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,168.53 / $2,964.35 / $4,655.76	Professional		$1,168.53	$2,964.35	$4,655.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,008.43 / $2,008.43 / $2,008.43	Professional		$2,008.43	$2,008.43	$2,008.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.83 / $3,079.65 / $3,974.83	Professional		$1,065.83	$3,079.65	$3,974.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.55 / $1,298.39 / $2,844.77	Professional		$672.55	$1,298.39	$2,844.77