Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.10 / $1,509.39 / $14,482.00	Facility		$713.10	$1,509.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.58 / $746.17 / $3,327.12	Professional		$682.58	$746.17	$3,327.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $697.65 / $1,645.61 / $4,180.02	Professional		$697.65	$1,645.61	$4,180.02
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 $1,909.47 / $2,231.37 / $3,422.98	Facility		$1,909.47	$2,231.37	$3,422.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.92 / $2,920.78 / $3,319.06	Professional		$1,079.92	$2,920.78	$3,319.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $670.84 / $922.00 / $1,575.95	Facility		$670.84	$922.00	$1,575.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $677.61 / $1,467.81 / $13,120.00	Facility		$677.61	$1,467.81	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $768.16 / $1,406.26 / $5,449.12	Professional		$768.16	$1,406.26	$5,449.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $438.29 / $1,456.45	Professional		$66.47	$438.29	$1,456.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $670.84 / $922.00 / $1,575.95	Facility		$670.84	$922.00	$1,575.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,464.45 / $1,784.38 / $2,663.72	Professional		$1,464.45	$1,784.38	$2,663.72
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 $1,366.50 / $3,480.25 / $5,449.12	Professional		$1,366.50	$3,480.25	$5,449.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,350.67 / $2,350.67 / $2,350.67	Professional		$2,350.67	$2,350.67	$2,350.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,114.19 / $3,605.60 / $4,648.24	Professional		$2,114.19	$3,605.60	$4,648.24
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 $768.16 / $1,401.08 / $3,167.03	Professional		$768.16	$1,401.08	$3,167.03