Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,018.67 / $5,861.62 / $18,948.43	Facility		$1,018.67	$5,861.62	$18,948.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.99 / $961.18 / $3,198.45	Professional		$557.99	$961.18	$3,198.45
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 $751.82 / $1,369.55 / $3,651.75	Professional		$751.82	$1,369.55	$3,651.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,466.40 / $10,466.40 / $10,466.40	Facility		$10,466.40	$10,466.40	$10,466.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,738.50 / $3,200.16 / $4,909.12	Facility		$2,738.50	$3,200.16	$4,909.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $970.61 / $2,365.25 / $4,696.38	Professional		$970.61	$2,365.25	$4,696.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $597.09 / $1,018.67 / $2,080.73	Facility		$597.09	$1,018.67	$2,080.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $617.09 / $1,204.57 / $10,568.00	Facility		$617.09	$1,204.57	$10,568.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $983.51 / $2,316.35 / $7,591.84	Professional		$983.51	$2,316.35	$7,591.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $582.92 / $1,928.66	Professional		$95.42	$582.92	$1,928.66
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $597.09 / $1,018.67 / $2,080.73	Facility		$597.09	$1,018.67	$2,080.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,390.40 / $2,172.96 / $3,392.84	Professional		$1,390.40	$2,172.96	$3,392.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,845.24 / $2,845.24 / $20,177.39	Facility		$2,845.24	$2,845.24	$20,177.39
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $275.97 / $275.97 / $275.97	Facility	AS	$275.97	$275.97	$275.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,269.92 / $4,350.51 / $7,591.84	Professional		$1,269.92	$4,350.51	$7,591.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.16 / $3,872.41 / $6,577.12	Professional		$1,862.16	$3,872.41	$6,577.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $967.52 / $1,860.71 / $4,529.76	Professional		$967.52	$1,860.71	$4,529.76