Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.46 / $1,924.47 / $14,482.00	Facility		$913.46	$1,924.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.59 / $951.40 / $4,309.27	Professional		$877.59	$951.40	$4,309.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.03 / $2,107.98 / $5,617.99	Professional		$901.03	$2,107.98	$5,617.99
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 $2,427.62 / $2,836.86 / $4,351.82	Facility		$2,427.62	$2,836.86	$4,351.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,408.19 / $3,729.61 / $4,238.18	Professional		$1,408.19	$3,729.61	$4,238.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $913.46 / $1,368.51 / $2,018.75	Facility		$913.46	$1,368.51	$2,018.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $913.46 / $1,891.33 / $15,090.00	Facility		$913.46	$1,891.33	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,037.91 / $1,974.33 / $6,982.16	Professional		$1,037.91	$1,974.33	$6,982.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $575.18 / $1,809.64	Professional		$66.47	$575.18	$1,809.64
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $913.46 / $1,325.29 / $2,018.75	Facility		$913.46	$1,325.29	$2,018.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,874.60 / $2,284.13 / $3,409.75	Professional		$1,874.60	$2,284.13	$3,409.75
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 $1,744.92 / $4,507.60 / $6,982.16	Professional		$1,744.92	$4,507.60	$6,982.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,023.17 / $3,023.17 / $3,023.17	Professional		$3,023.17	$3,023.17	$3,023.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,387.44 / $4,647.93 / $5,935.45	Professional		$2,387.44	$4,647.93	$5,935.45
United Facility/Professional Facility Modifier Low / Median / High Price $7,984.00 / $13,721.00 / $17,327.00	Facility		$7,984.00	$13,721.00	$17,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.03 / $1,839.10 / $4,101.92	Professional		$1,019.03	$1,839.10	$4,101.92