Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.68 / $1,959.57 / $14,482.00	Facility		$927.68	$1,959.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $889.29 / $981.90 / $4,346.31	Professional		$889.29	$981.90	$4,346.31
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 $910.20 / $2,140.80 / $5,692.48	Professional		$910.20	$2,140.80	$5,692.48
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 $2,476.28 / $2,893.73 / $4,439.05	Facility		$2,476.28	$2,893.73	$4,439.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,465.73 / $3,795.06 / $4,312.56	Professional		$1,465.73	$3,795.06	$4,312.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $927.68 / $1,274.28 / $2,050.17	Facility		$927.68	$1,274.28	$2,050.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $927.68 / $1,917.83 / $15,090.00	Facility		$927.68	$1,917.83	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,066.68 / $1,962.32 / $7,090.40	Professional		$1,066.68	$1,962.32	$7,090.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $573.38 / $1,812.00	Professional		$66.47	$573.38	$1,812.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $927.68 / $1,260.71 / $2,050.17	Facility		$927.68	$1,260.71	$2,050.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,903.85 / $2,319.77 / $3,462.96	Professional		$1,903.85	$2,319.77	$3,462.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,826.14 / $9,826.14 / $27,124.45	Facility		$9,826.14	$9,826.14	$27,124.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,775.54 / $4,546.35 / $7,090.40	Professional		$1,775.54	$4,546.35	$7,090.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,063.27 / $3,063.27 / $3,063.27	Professional		$3,063.27	$3,063.27	$3,063.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,755.25 / $4,700.59 / $6,039.60	Professional		$2,755.25	$4,700.59	$6,039.60
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 $1,020.20 / $1,854.91 / $4,137.18	Professional		$1,020.20	$1,854.91	$4,137.18