Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.50 / $1,045.33 / $14,482.00	Facility		$493.50	$1,045.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.05 / $516.35 / $2,276.14	Professional		$471.05	$516.35	$2,276.14
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 $475.76 / $1,138.84 / $3,018.52	Professional		$475.76	$1,138.84	$3,018.52
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 $1,325.55 / $1,549.01 / $2,376.21	Facility		$1,325.55	$1,549.01	$2,376.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.14 / $2,022.50 / $2,298.30	Professional		$785.14	$2,022.50	$2,298.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $493.50 / $740.25 / $1,090.64	Facility		$493.50	$740.25	$1,090.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $493.50 / $983.24 / $11,100.00	Facility		$493.50	$983.24	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $544.41 / $1,042.83 / $3,988.26	Professional		$544.41	$1,042.83	$3,988.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $296.25 / $946.75	Professional		$61.84	$296.25	$946.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $493.50 / $709.09 / $1,090.64	Facility		$493.50	$709.09	$1,090.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,011.40 / $1,232.34 / $1,839.66	Professional		$1,011.40	$1,232.34	$1,839.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $946.24 / $2,380.90 / $3,988.26	Professional		$946.24	$2,380.90	$3,988.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,624.35 / $1,624.35 / $1,624.35	Professional		$1,624.35	$1,624.35	$1,624.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,557.77 / $2,478.11 / $3,218.71	Professional		$1,557.77	$2,478.11	$3,218.71
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 $540.21 / $1,002.46 / $2,166.62	Professional		$540.21	$1,002.46	$2,166.62