Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.88 / $1,550.39 / $14,482.00	Facility		$733.88	$1,550.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.76 / $766.31 / $3,427.59	Professional		$701.76	$766.31	$3,427.59
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 $717.01 / $1,693.57 / $4,515.85	Professional		$717.01	$1,693.57	$4,515.85
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 $1,961.74 / $2,292.44 / $3,516.67	Facility		$1,961.74	$2,292.44	$3,516.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.85 / $3,002.30 / $3,411.70	Professional		$1,205.85	$3,002.30	$3,411.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $733.88 / $1,003.81 / $1,621.87	Facility		$733.88	$1,003.81	$1,621.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $733.88 / $1,481.48 / $11,100.00	Facility		$733.88	$1,481.48	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $850.87 / $1,605.26 / $6,151.33	Professional		$850.87	$1,605.26	$6,151.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $442.23 / $1,464.01	Professional		$66.47	$442.23	$1,464.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $733.88 / $1,003.20 / $1,621.87	Facility		$733.88	$1,003.20	$1,621.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,505.40 / $1,834.27 / $2,738.21	Professional		$1,505.40	$1,834.27	$2,738.21
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 $1,404.64 / $3,585.35 / $6,151.33	Professional		$1,404.64	$3,585.35	$6,151.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,422.19 / $2,422.19 / $2,422.19	Professional		$2,422.19	$2,422.19	$2,422.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.10 / $3,713.06 / $4,777.99	Professional		$1,421.10	$3,713.06	$4,777.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.78 / $1,528.56 / $3,262.67	Professional		$817.78	$1,528.56	$3,262.67