Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.85 / $1,330.54 / $14,482.00	Facility		$634.85	$1,330.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.09 / $657.70 / $2,870.39	Professional		$605.09	$657.70	$2,870.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.40 / $1,417.93 / $3,733.99	Professional		$589.40	$1,417.93	$3,733.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,699.51 / $1,986.01 / $3,046.60	Facility		$1,699.51	$1,986.01	$3,046.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.29 / $2,590.16 / $2,943.36	Professional		$868.29	$2,590.16	$2,943.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $564.85 / $742.77 / $1,345.88	Facility		$564.85	$742.77	$1,345.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $591.35 / $1,106.94 / $7,891.00	Facility		$591.35	$1,106.94	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $644.37 / $1,207.01 / $4,814.39	Professional		$644.37	$1,207.01	$4,814.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $387.93 / $1,236.60	Professional		$66.47	$387.93	$1,236.60
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $564.85 / $742.77 / $1,345.88	Facility		$564.85	$742.77	$1,345.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,285.70 / $1,566.58 / $2,338.59	Professional		$1,285.70	$1,566.58	$2,338.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,211.82 / $3,002.50 / $4,814.39	Professional		$1,211.82	$3,002.50	$4,814.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,102.94 / $2,102.94 / $2,102.94	Professional		$2,102.94	$2,102.94	$2,102.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,491.99 / $3,190.48 / $4,122.07	Professional		$1,491.99	$3,190.48	$4,122.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.69 / $1,131.69 / $2,642.20	Professional		$642.69	$1,131.69	$2,642.20