Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.89 / $1,755.70 / $14,482.00	Facility		$832.89	$1,755.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.33 / $867.78 / $3,917.31	Professional		$791.33	$867.78	$3,917.31
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 $820.87 / $1,707.82 / $5,116.92	Professional		$820.87	$1,707.82	$5,116.92
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 $2,216.76 / $2,590.44 / $3,973.82	Facility		$2,216.76	$2,590.44	$3,973.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,265.23 / $3,402.38 / $3,866.34	Professional		$1,265.23	$3,402.38	$3,866.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $832.89 / $1,166.05 / $1,840.69	Facility		$832.89	$1,166.05	$1,840.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $832.89 / $1,677.67 / $11,598.00	Facility		$832.89	$1,677.67	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $942.43 / $1,695.38 / $6,365.44	Professional		$942.43	$1,695.38	$6,365.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $509.61 / $1,631.49	Professional		$65.66	$509.61	$1,631.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $832.89 / $1,155.00 / $1,840.69	Facility		$832.89	$1,155.00	$1,840.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,708.20 / $2,081.38 / $3,107.08	Professional		$1,708.20	$2,081.38	$3,107.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,143.35 / $9,143.35 / $25,239.65	Facility		$9,143.35	$9,143.35	$25,239.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,591.82 / $4,097.60 / $6,365.44	Professional		$1,591.82	$4,097.60	$6,365.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,753.52 / $2,753.52 / $2,753.52	Professional		$2,753.52	$2,753.52	$2,753.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.21 / $4,230.14 / $5,414.67	Professional		$1,563.21	$4,230.14	$5,414.67
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 $929.27 / $1,657.85 / $3,728.82	Professional		$929.27	$1,657.85	$3,728.82