Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.87 / $1,631.20 / $14,482.00	Facility		$771.87	$1,631.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.20 / $806.50 / $3,637.01	Professional		$739.20	$806.50	$3,637.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.60 / $1,781.24 / $4,752.32	Professional		$763.60	$1,781.24	$4,752.32
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 $2,059.06 / $2,406.17 / $3,691.13	Facility		$2,059.06	$2,406.17	$3,691.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,012.59 / $3,304.30 / $3,954.89	Professional		$1,012.59	$3,304.30	$3,954.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $758.66 / $927.97 / $1,636.36	Facility		$758.66	$927.97	$1,636.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $771.87 / $1,558.71 / $5,639.00	Facility		$771.87	$1,558.71	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $705.23 / $1,539.40 / $5,902.16	Professional		$705.23	$1,539.40	$5,902.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $479.17 / $1,525.19	Professional		$66.47	$479.17	$1,525.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $758.66 / $910.60 / $1,636.36	Facility		$758.66	$910.60	$1,636.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,586.65 / $1,933.27 / $2,885.99	Professional		$1,586.65	$1,933.27	$2,885.99
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 $1,477.07 / $3,804.40 / $5,902.16	Professional		$1,477.07	$3,804.40	$5,902.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,549.03 / $2,549.03 / $2,549.03	Professional		$2,549.03	$2,549.03	$2,549.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,322.91 / $4,038.54 / $5,024.34	Professional		$2,322.91	$4,038.54	$5,024.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.98 / $1,539.40 / $3,347.87	Professional		$724.98	$1,539.40	$3,347.87