Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.49 / $1,575.07 / $14,482.00	Facility		$744.49	$1,575.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.36 / $778.79 / $3,464.45	Professional		$712.36	$778.79	$3,464.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.73 / $1,718.06 / $4,563.60	Professional		$724.73	$1,718.06	$4,563.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,994.18 / $2,330.36 / $3,574.82	Facility		$1,994.18	$2,330.36	$3,574.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.83 / $3,050.08 / $3,466.00	Professional		$1,127.83	$3,050.08	$3,466.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $744.49 / $1,050.05 / $1,679.90	Facility		$744.49	$1,050.05	$1,679.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $744.49 / $1,519.90 / $11,598.00	Facility		$744.49	$1,519.90	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $825.01 / $1,494.07 / $7,170.75	Professional		$825.01	$1,494.07	$7,170.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $442.23 / $1,464.01	Professional		$66.47	$442.23	$1,464.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $744.49 / $1,049.24 / $1,679.90	Facility		$744.49	$1,049.24	$1,679.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,528.15 / $1,861.99 / $2,779.59	Professional		$1,528.15	$1,861.99	$2,779.59
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 $1,427.00 / $3,623.90 / $7,170.75	Professional		$1,427.00	$3,623.90	$7,170.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,455.78 / $2,455.78 / $2,455.78	Professional		$2,455.78	$2,455.78	$2,455.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.74 / $3,762.05 / $4,853.99	Professional		$1,733.74	$3,762.05	$4,853.99
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $799.44 / $1,453.52 / $3,319.49	Professional		$799.44	$1,453.52	$3,319.49