Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.96 / $1,895.87 / $14,482.00	Facility		$897.96	$1,895.87	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.25 / $954.35 / $3,378.87	Professional		$804.25	$954.35	$3,378.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $11,302.00	Facility		$2,740.00	$4,780.00	$11,302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.24 / $2,072.21 / $5,276.09	Professional		$887.24	$2,072.21	$5,276.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,390.67 / $2,793.69 / $4,285.59	Facility		$2,390.67	$2,793.69	$4,285.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,390.19 / $3,670.02 / $4,170.47	Professional		$1,390.19	$3,670.02	$4,170.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $897.96 / $1,263.92 / $1,984.49	Facility		$897.96	$1,263.92	$1,984.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $897.96 / $1,864.46 / $13,120.00	Facility		$897.96	$1,864.46	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,018.22 / $1,939.00 / $6,866.88	Professional		$1,018.22	$1,939.00	$6,866.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $556.26 / $1,751.19	Professional		$66.47	$556.26	$1,751.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $897.96 / $1,257.14 / $1,984.49	Facility		$897.96	$1,257.14	$1,984.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,846.65 / $2,250.07 / $3,358.91	Professional		$1,846.65	$2,250.07	$3,358.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $5,453.15	Facility		$1,722.47	$1,722.47	$5,453.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,717.05 / $4,426.95 / $6,866.88	Professional		$1,717.05	$4,426.95	$6,866.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,967.08 / $2,967.08 / $2,967.08	Professional		$2,967.08	$2,967.08	$2,967.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,543.77 / $4,563.62 / $5,840.63	Professional		$2,543.77	$4,563.62	$5,840.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $952.92 / $1,787.70 / $4,028.52	Professional		$952.92	$1,787.70	$4,028.52