Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.47 / $1,718.86 / $14,482.00	Facility		$830.47	$1,718.86	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.77 / $849.81 / $3,256.05	Professional		$685.77	$849.81	$3,256.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.53 / $1,899.53 / $5,158.03	Professional		$751.53	$1,899.53	$5,158.03
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 $2,220.36 / $2,594.67 / $3,980.28	Facility		$2,220.36	$2,594.67	$3,980.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.58 / $3,520.48 / $4,217.85	Professional		$1,271.58	$3,520.48	$4,217.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $830.47 / $1,052.14 / $1,760.60	Facility		$830.47	$1,052.14	$1,760.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $830.47 / $1,549.66 / $11,100.00	Facility		$830.47	$1,549.66	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $871.29 / $1,616.90 / $6,232.32	Professional		$871.29	$1,616.90	$6,232.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $496.31 / $1,620.17	Professional		$94.25	$496.31	$1,620.17
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $830.47 / $1,051.90 / $1,760.60	Facility		$830.47	$1,051.90	$1,760.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,654.25 / $2,015.64 / $3,008.95	Professional		$1,654.25	$2,015.64	$3,008.95
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 $1,575.30 / $3,876.25 / $6,232.32	Professional		$1,575.30	$3,876.25	$6,232.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,766.63 / $2,766.63 / $2,766.63	Professional		$2,766.63	$2,766.63	$2,766.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.52 / $4,193.28 / $5,358.45	Professional		$1,449.52	$4,193.28	$5,358.45
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 $840.53 / $1,626.71 / $3,719.88	Professional		$840.53	$1,626.71	$3,719.88