Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.96 / $1,015.72 / $14,482.00	Facility		$478.96	$1,015.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.13 / $506.31 / $2,188.00	Professional		$461.13	$506.31	$2,188.00
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 $459.97 / $1,014.64 / $2,919.22	Professional		$459.97	$1,014.64	$2,919.22
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 $1,289.50 / $1,506.89 / $2,311.60	Facility		$1,289.50	$1,506.89	$2,311.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.17 / $2,078.79 / $2,454.79	Professional		$748.17	$2,078.79	$2,454.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $469.79 / $643.96 / $1,128.58	Facility		$469.79	$643.96	$1,128.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.96 / $970.57 / $8,296.28	Facility		$478.96	$970.57	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $514.16 / $994.85 / $3,631.28	Professional		$514.16	$994.85	$3,631.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $294.93 / $941.95	Professional		$61.84	$294.93	$941.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $469.79 / $643.96 / $1,128.58	Facility		$469.79	$643.96	$1,128.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $975.65 / $1,188.79 / $1,774.63	Professional		$975.65	$1,188.79	$1,774.63
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 $916.83 / $2,295.25 / $3,631.28	Professional		$916.83	$2,295.25	$3,631.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,570.90 / $1,570.90 / $1,570.90	Professional		$1,570.90	$1,570.90	$1,570.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,222.15 / $2,425.61 / $3,118.63	Professional		$1,222.15	$2,425.61	$3,118.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.91 / $918.26 / $2,088.67	Professional		$513.91	$918.26	$2,088.67