Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.09 / $2,121.46 / $14,482.00	Facility		$999.09	$2,121.46	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.01 / $1,036.93 / $5,459.23	Professional		$817.01	$1,036.93	$5,459.23
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 $1,013.19 / $2,305.59 / $5,912.51	Professional		$1,013.19	$2,305.59	$5,912.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,659.21 / $3,107.49 / $4,766.97	Facility		$2,659.21	$3,107.49	$4,766.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,504.63 / $4,105.93 / $4,665.83	Professional		$1,504.63	$4,105.93	$4,665.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $999.09 / $1,371.08 / $2,207.98	Facility		$999.09	$1,371.08	$2,207.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $999.09 / $2,116.31 / $8,103.00	Facility		$999.09	$2,116.31	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,123.94 / $2,019.97 / $7,691.44	Professional		$1,123.94	$2,019.97	$7,691.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $617.36 / $1,937.29	Professional		$95.64	$617.36	$1,937.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $999.09 / $1,371.08 / $2,207.98	Facility		$999.09	$1,371.08	$2,207.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,046.20 / $2,493.21 / $3,721.88	Professional		$2,046.20	$2,493.21	$3,721.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,863.36 / $5,024.80 / $7,691.44	Professional		$1,863.36	$5,024.80	$7,691.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,324.99 / $3,324.99 / $3,324.99	Professional		$3,324.99	$3,324.99	$3,324.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,111.86 / $5,100.68 / $6,534.38	Professional		$3,111.86	$5,100.68	$6,534.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,193.00 / $7,085.00 / $9,134.00	Facility		$3,193.00	$7,085.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,130.83 / $2,071.82 / $4,421.82	Professional		$1,130.83	$2,071.82	$4,421.82