Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.24 / $1,964.23 / $14,482.00	Facility		$932.24	$1,964.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.94 / $970.98 / $4,383.12	Professional		$894.94	$970.98	$4,383.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.45 / $2,151.33 / $5,733.20	Professional		$916.45	$2,151.33	$5,733.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,480.78 / $2,898.99 / $4,447.13	Facility		$2,480.78	$2,898.99	$4,447.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.74 / $3,806.47 / $4,325.54	Professional		$1,527.74	$3,806.47	$4,325.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $932.24 / $1,305.14 / $2,060.25	Facility		$932.24	$1,305.14	$2,060.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $932.24 / $1,931.93 / $13,250.00	Facility		$932.24	$1,931.93	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,091.71 / $2,098.34 / $8,630.24	Professional		$1,091.71	$2,098.34	$8,630.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $583.76 / $1,857.67	Professional		$66.47	$583.76	$1,857.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $932.24 / $1,303.09 / $2,060.25	Facility		$932.24	$1,303.09	$2,060.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,911.65 / $2,329.27 / $3,477.14	Professional		$1,911.65	$2,329.27	$3,477.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,446.88 / $11,446.88 / $31,598.45	Facility		$11,446.88	$11,446.88	$31,598.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,780.87 / $4,584.85 / $8,630.24	Professional		$1,780.87	$4,584.85	$8,630.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,085.16 / $3,085.16 / $3,085.16	Professional		$3,085.16	$3,085.16	$3,085.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,932.70 / $4,737.85 / $6,057.72	Professional		$1,932.70	$4,737.85	$6,057.72
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.02 / $1,942.66 / $4,165.14	Professional		$1,058.02	$1,942.66	$4,165.14