Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.70 / $1,898.91 / $14,482.00	Facility		$921.70	$1,898.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.84 / $947.51 / $4,168.49	Professional		$873.84	$947.51	$4,168.49
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 $849.23 / $2,126.98 / $5,808.95	Professional		$849.23	$2,126.98	$5,808.95
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 $2,461.86 / $2,876.88 / $4,413.20	Facility		$2,461.86	$2,876.88	$4,413.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,435.10 / $3,891.28 / $4,673.10	Professional		$1,435.10	$3,891.28	$4,673.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $921.70 / $1,265.94 / $1,954.00	Facility		$921.70	$1,265.94	$1,954.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $921.70 / $1,741.58 / $11,598.00	Facility		$921.70	$1,741.58	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $992.07 / $1,889.95 / $6,900.24	Professional		$992.07	$1,889.95	$6,900.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $544.49 / $1,753.95	Professional		$94.25	$544.49	$1,753.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $921.70 / $1,188.92 / $1,954.00	Facility		$921.70	$1,188.92	$1,954.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,825.85 / $2,224.73 / $3,321.08	Professional		$1,825.85	$2,224.73	$3,321.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,794.39 / $9,794.39 / $27,036.85	Facility		$9,794.39	$9,794.39	$27,036.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,745.31 / $4,360.35 / $6,900.24	Professional		$1,745.31	$4,360.35	$6,900.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,077.33 / $3,077.33 / $3,077.33	Professional		$3,077.33	$3,077.33	$3,077.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.41 / $4,695.29 / $5,936.76	Professional		$1,307.41	$4,695.29	$5,936.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $964.56 / $1,744.14 / $3,967.92	Professional		$964.56	$1,744.14	$3,967.92