Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.20 / $1,873.91 / $14,482.00	Facility		$886.20	$1,873.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $849.77 / $926.54 / $4,162.42	Professional		$849.77	$926.54	$4,162.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.55 / $2,045.08 / $5,439.26	Professional		$872.55	$2,045.08	$5,439.26
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 $2,366.34 / $2,765.26 / $4,241.97	Facility		$2,366.34	$2,765.26	$4,241.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,804.19 / $3,627.14 / $4,121.75	Professional		$1,804.19	$3,627.14	$4,121.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $886.20 / $1,219.89 / $1,951.50	Facility		$886.20	$1,219.89	$1,951.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $886.20 / $1,838.54 / $13,250.00	Facility		$886.20	$1,838.54	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $971.95 / $1,907.05 / $6,778.88	Professional		$971.95	$1,907.05	$6,778.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $567.82 / $1,773.71	Professional		$66.47	$567.82	$1,773.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $886.20 / $1,219.89 / $1,951.50	Facility		$886.20	$1,219.89	$1,951.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,821.95 / $2,219.98 / $3,313.99	Professional		$1,821.95	$2,219.98	$3,313.99
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29,433.60 / $29,433.60 / $29,433.60	Facility		$29,433.60	$29,433.60	$29,433.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,818.21 / $4,354.00 / $6,778.88	Professional		$3,818.21	$4,354.00	$6,778.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,927.01 / $2,927.01 / $2,927.01	Professional		$2,927.01	$2,927.01	$2,927.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,618.41 / $4,496.05 / $5,772.37	Professional		$2,618.41	$4,496.05	$5,772.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,217.00 / $11,733.00 / $14,978.00	Facility		$7,217.00	$11,733.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $957.88 / $1,849.46 / $3,988.26	Professional		$957.88	$1,849.46	$3,988.26