Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $582.76 / $1,234.04 / $14,482.00	Facility		$582.76	$1,234.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.15 / $610.12 / $2,705.24	Professional		$557.15	$610.12	$2,705.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.91 / $1,344.84 / $3,415.61	Professional		$564.91	$1,344.84	$3,415.61
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 $1,562.54 / $1,825.95 / $2,801.06	Facility		$1,562.54	$1,825.95	$2,801.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.92 / $2,388.73 / $2,714.46	Professional		$962.92	$2,388.73	$2,714.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $582.76 / $874.14 / $1,371.15	Facility		$582.76	$874.14	$1,371.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $582.76 / $1,219.10 / $7,891.00	Facility		$582.76	$1,219.10	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $671.39 / $1,273.39 / $5,361.75	Professional		$671.39	$1,273.39	$5,361.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $358.17 / $1,135.19	Professional		$66.47	$358.17	$1,135.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $582.76 / $874.14 / $1,371.15	Facility		$582.76	$874.14	$1,371.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,196.00 / $1,457.28 / $2,175.42	Professional		$1,196.00	$1,457.28	$2,175.42
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 $1,117.58 / $2,829.75 / $5,361.75	Professional		$1,117.58	$2,829.75	$5,361.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,920.82 / $1,920.82 / $1,920.82	Professional		$1,920.82	$1,920.82	$1,920.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.16 / $2,943.94 / $3,801.52	Professional		$1,492.16	$2,943.94	$3,801.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $622.54 / $1,213.66 / $2,583.56	Professional		$622.54	$1,213.66	$2,583.56