Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.43 / $1,850.38 / $14,482.00	Facility		$894.43	$1,850.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $744.72 / $914.59 / $3,528.46	Professional		$744.72	$914.59	$3,528.46
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 $816.46 / $1,788.85 / $5,552.86	Professional		$816.46	$1,788.85	$5,552.86
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 $2,386.17 / $2,788.42 / $4,277.51	Facility		$2,386.17	$2,788.42	$4,277.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,387.30 / $3,783.91 / $4,541.74	Professional		$1,387.30	$3,783.91	$4,541.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $894.43 / $1,252.20 / $1,896.19	Facility		$894.43	$1,252.20	$1,896.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $894.43 / $1,691.02 / $11,100.00	Facility		$894.43	$1,691.02	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $957.97 / $1,765.00 / $6,720.88	Professional		$957.97	$1,765.00	$6,720.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $539.41 / $1,759.52	Professional		$94.25	$539.41	$1,759.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $894.43 / $1,233.58 / $1,896.19	Facility		$894.43	$1,233.58	$1,896.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,782.95 / $2,172.46 / $3,243.05	Professional		$1,782.95	$2,172.46	$3,243.05
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 $1,696.26 / $4,200.55 / $6,720.88	Professional		$1,696.26	$4,200.55	$6,720.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,978.40 / $2,978.40 / $2,978.40	Professional		$2,978.40	$2,978.40	$2,978.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,477.32 / $4,520.72 / $5,769.95	Professional		$2,477.32	$4,520.72	$5,769.95
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 $957.97 / $1,751.81 / $3,822.50	Professional		$957.97	$1,751.81	$3,822.50