Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.83 / $1,340.59 / $14,482.00	Facility		$650.83	$1,340.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.35 / $662.67 / $2,840.61	Professional		$614.35	$662.67	$2,840.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $569.27 / $1,433.29 / $3,958.61	Professional		$569.27	$1,433.29	$3,958.61
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 $1,748.17 / $2,042.88 / $3,133.83	Facility		$1,748.17	$2,042.88	$3,133.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.58 / $2,760.26 / $3,303.39	Professional		$1,000.58	$2,760.26	$3,303.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $595.82 / $761.47 / $1,379.76	Facility		$595.82	$761.47	$1,379.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $595.82 / $1,158.39 / $5,261.00	Facility		$595.82	$1,158.39	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $651.49 / $1,271.52 / $4,858.88	Professional		$651.49	$1,271.52	$4,858.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $374.59 / $1,190.02	Professional		$66.47	$374.59	$1,190.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $595.82 / $761.47 / $1,379.76	Facility		$595.82	$761.47	$1,379.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,283.09 / $1,563.41 / $2,333.86	Professional		$1,283.09	$1,563.41	$2,333.86
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 $1,233.75 / $2,971.35 / $4,858.88	Professional		$1,233.75	$2,971.35	$4,858.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,169.23 / $2,169.23 / $2,169.23	Professional		$2,169.23	$2,169.23	$2,169.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,718.14 / $3,269.02 / $4,196.70	Professional		$1,718.14	$3,269.02	$4,196.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $4,092.17 / $5,865.00	Facility		$2,723.00	$4,092.17	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $1,188.54 / $2,703.93	Professional		$645.60	$1,188.54	$2,703.93