Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.46 / $1,276.94 / $14,482.00	Facility		$603.46	$1,276.94	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.49 / $631.38 / $2,809.97	Professional		$577.49	$631.38	$2,809.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.95 / $1,392.61 / $3,699.16	Professional		$586.95	$1,392.61	$3,699.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,315.27 / $12,315.27 / $12,315.27	Facility		$12,315.27	$12,315.27	$12,315.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,615.71 / $1,888.08 / $2,896.37	Facility		$1,615.71	$1,888.08	$2,896.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,231.80 / $2,471.27 / $2,808.26	Professional		$1,231.80	$2,471.27	$2,808.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $603.46 / $878.36 / $1,333.65	Facility		$603.46	$878.36	$1,333.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.46 / $1,227.13 / $11,598.00	Facility		$603.46	$1,227.13	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $672.75 / $1,287.41 / $4,609.35	Professional		$672.75	$1,287.41	$4,609.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $360.37 / $1,146.06	Professional		$65.66	$360.37	$1,146.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $603.46 / $873.05 / $1,333.65	Facility		$603.46	$873.05	$1,333.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,238.90 / $1,509.55 / $2,253.46	Professional		$1,238.90	$1,509.55	$2,253.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19,913.50 / $19,913.50 / $19,913.50	Facility		$19,913.50	$19,913.50	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,601.44 / $2,939.30 / $4,609.35	Professional		$2,601.44	$2,939.30	$4,609.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,990.60 / $1,990.60 / $1,990.60	Professional		$1,990.60	$1,990.60	$1,990.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,768.89 / $3,052.82 / $3,932.92	Professional		$1,768.89	$3,052.82	$3,932.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,837.00 / $12,631.00	Facility		$4,240.00	$9,837.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.12 / $1,287.41 / $2,800.12	Professional		$669.12	$1,287.41	$2,800.12