Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.66 / $1,211.42 / $14,482.00	Facility		$566.66	$1,211.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $586.84 / $2,159.02	Professional		$491.91	$586.84	$2,159.02
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 $551.33 / $1,307.68 / $3,582.76	Professional		$551.33	$1,307.68	$3,582.76
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 $1,534.61 / $1,793.31 / $2,750.98	Facility		$1,534.61	$1,793.31	$2,750.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.24 / $2,471.06 / $2,928.98	Professional		$847.24	$2,471.06	$2,928.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $561.13 / $771.86 / $1,346.03	Facility		$561.13	$771.86	$1,346.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $566.66 / $1,140.74 / $8,296.28	Facility		$566.66	$1,140.74	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $605.96 / $1,108.57 / $4,338.47	Professional		$605.96	$1,108.57	$4,338.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $350.96 / $1,139.82	Professional		$61.84	$350.96	$1,139.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $561.13 / $771.86 / $1,346.03	Facility		$561.13	$771.86	$1,346.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,162.20 / $1,416.10 / $2,113.94	Professional		$1,162.20	$1,416.10	$2,113.94
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 $1,093.92 / $2,754.35 / $4,338.47	Professional		$1,093.92	$2,754.35	$4,338.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.23 / $1,867.23 / $1,867.23	Professional		$1,867.23	$1,867.23	$1,867.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $937.93 / $2,933.18 / $3,721.02	Professional		$937.93	$2,933.18	$3,721.02
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 $608.04 / $1,107.34 / $2,459.73	Professional		$608.04	$1,107.34	$2,459.73