Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.51 / $1,973.09 / $14,482.00	Facility		$936.51	$1,973.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $899.05 / $994.67 / $3,726.95	Professional		$899.05	$994.67	$3,726.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.96 / $2,161.19 / $5,757.74	Professional		$920.96	$2,161.19	$5,757.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,331.19 / $10,331.19 / $10,331.19	Facility		$10,331.19	$10,331.19	$10,331.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,491.60 / $2,911.63 / $4,466.51	Facility		$2,491.60	$2,911.63	$4,466.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,477.71 / $3,823.74 / $4,345.16	Professional		$1,477.71	$3,823.74	$4,345.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $936.51 / $1,400.00 / $2,069.69	Facility		$936.51	$1,400.00	$2,069.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $936.51 / $1,885.40 / $15,090.00	Facility		$936.51	$1,885.40	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.93 / $2,040.95 / $7,513.81	Professional		$1,096.93	$2,040.95	$7,513.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $588.03 / $1,857.67	Professional		$66.47	$588.03	$1,857.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $936.51 / $1,357.87 / $2,069.69	Facility		$936.51	$1,357.87	$2,069.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,920.10 / $2,339.57 / $3,492.51	Professional		$1,920.10	$2,339.57	$3,492.51
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 $1,788.97 / $4,606.70 / $7,513.81	Professional		$1,788.97	$4,606.70	$7,513.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.36 / $3,098.36 / $3,098.36	Professional		$3,098.36	$3,098.36	$3,098.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,415.87 / $4,759.97 / $6,085.32	Professional		$2,415.87	$4,759.97	$6,085.32
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.85 / $1,951.32 / $4,192.10	Professional		$1,062.85	$1,951.32	$4,192.10