Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.73 / $1,791.94 / $14,482.00	Facility		$866.73	$1,791.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.56 / $896.12 / $3,887.24	Professional		$823.56	$896.12	$3,887.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.96 / $1,996.49 / $5,414.32	Professional		$788.96	$1,996.49	$5,414.32
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 $2,312.27 / $2,702.08 / $4,145.05	Facility		$2,312.27	$2,702.08	$4,145.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,349.30 / $3,665.08 / $4,399.18	Professional		$1,349.30	$3,665.08	$4,399.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $843.71 / $1,026.11 / $1,837.47	Facility		$843.71	$1,026.11	$1,837.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $866.73 / $1,632.58 / $11,598.00	Facility		$866.73	$1,632.58	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $927.64 / $1,748.50 / $6,509.84	Professional		$927.64	$1,748.50	$6,509.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $500.46 / $1,631.41	Professional		$94.25	$500.46	$1,631.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $843.71 / $1,020.80 / $1,837.47	Facility		$843.71	$1,020.80	$1,837.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,726.40 / $2,103.55 / $3,140.19	Professional		$1,726.40	$2,103.55	$3,140.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,129.64 / $9,129.64 / $25,201.85	Facility		$9,129.64	$9,129.64	$25,201.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,643.02 / $4,066.15 / $6,509.84	Professional		$1,643.02	$4,066.15	$6,509.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,888.69 / $2,888.69 / $2,888.69	Professional		$2,888.69	$2,888.69	$2,888.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.94 / $4,383.91 / $5,588.82	Professional		$1,207.94	$4,383.91	$5,588.82
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $910.60 / $1,741.99 / $3,902.12	Professional		$910.60	$1,741.99	$3,902.12