Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.26 / $898.79 / $14,482.00	Facility		$423.26	$898.79	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.76 / $423.26 / $2,024.28	Professional		$403.76	$423.26	$2,024.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $976.75 / $2,768.60	Professional		$426.00	$976.75	$2,768.60
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 $1,131.81 / $1,322.61 / $2,028.91	Facility		$1,131.81	$1,322.61	$2,028.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.50 / $1,743.23 / $1,980.94	Professional		$669.50	$1,743.23	$1,980.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $412.64 / $634.89 / $998.65	Facility		$412.64	$634.89	$998.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $423.26 / $855.94 / $15,090.00	Facility		$423.26	$855.94	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $498.34 / $927.44 / $3,959.35	Professional		$498.34	$927.44	$3,959.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $250.13 / $799.38	Professional		$61.84	$250.13	$799.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $412.64 / $634.89 / $998.65	Facility		$412.64	$634.89	$998.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $842.40 / $1,026.43 / $1,532.26	Professional		$842.40	$1,026.43	$1,532.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11,645.43 / $11,645.43 / $32,146.50	Facility		$11,645.43	$11,645.43	$32,146.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $815.57 / $2,117.44 / $3,959.35	Professional		$815.57	$2,117.44	$3,959.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.62 / $1,403.62 / $1,403.62	Professional		$1,403.62	$1,403.62	$1,403.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $852.66 / $2,258.69 / $2,774.22	Professional		$852.66	$2,258.69	$2,774.22
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $468.44 / $840.60 / $1,890.97	Professional		$468.44	$840.60	$1,890.97