Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.85 / $2,187.58 / $14,482.00	Facility		$577.85	$2,187.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.40 / $604.04 / $2,335.00	Professional		$551.40	$604.04	$2,335.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.52 / $1,316.08 / $3,242.77	Professional		$530.52	$1,316.08	$3,242.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,556.23 / $1,818.58 / $2,789.75	Facility		$1,556.23	$1,818.58	$2,789.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.54 / $2,374.06 / $2,697.80	Professional		$874.54	$2,374.06	$2,697.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $545.53 / $689.06 / $1,363.83	Facility		$545.53	$689.06	$1,363.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $545.53 / $1,101.89 / $5,261.00	Facility		$545.53	$1,101.89	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $595.33 / $1,068.28 / $4,417.04	Professional		$595.33	$1,068.28	$4,417.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $354.35 / $1,139.82	Professional		$66.47	$354.35	$1,139.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $545.53 / $689.06 / $1,363.83	Facility		$545.53	$689.06	$1,363.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,186.90 / $1,446.19 / $2,143.94	Professional		$1,186.90	$1,446.19	$2,143.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,110.71 / $2,647.40 / $4,417.04	Professional		$1,110.71	$2,647.40	$4,417.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,823.59 / $1,823.59 / $1,823.59	Professional		$1,823.59	$1,823.59	$1,823.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $852.66 / $2,779.51 / $3,778.14	Professional		$852.66	$2,779.51	$3,778.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.98 / $1,204.33 / $2,409.13	Professional		$598.98	$1,204.33	$2,409.13