Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.43 / $1,794.31 / $14,482.00	Facility		$849.43	$1,794.31	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.61 / $899.90 / $3,389.25	Professional		$814.61	$899.90	$3,389.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.81 / $1,960.22 / $5,017.12	Professional		$835.81	$1,960.22	$5,017.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18,781.98 / $18,781.98 / $18,781.98	Facility		$18,781.98	$18,781.98	$18,781.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,266.32 / $2,648.37 / $4,062.67	Facility		$2,266.32	$2,648.37	$4,062.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.58 / $3,474.66 / $3,948.48	Professional		$1,267.58	$3,474.66	$3,948.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $849.43 / $1,105.44 / $1,877.24	Facility		$849.43	$1,105.44	$1,877.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $849.43 / $1,766.83 / $15,090.00	Facility		$849.43	$1,766.83	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $924.20 / $1,688.82 / $6,494.40	Professional		$924.20	$1,688.82	$6,494.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $532.70 / $1,653.08	Professional		$65.66	$532.70	$1,653.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $849.43 / $1,105.44 / $1,877.24	Facility		$849.43	$1,105.44	$1,877.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,743.95 / $2,124.94 / $3,172.11	Professional		$1,743.95	$2,124.94	$3,172.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18,160.62 / $18,160.62 / $50,131.30	Facility		$18,160.62	$18,160.62	$50,131.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,576.88 / $4,171.89 / $6,494.40	Professional		$1,576.88	$4,171.89	$6,494.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,805.39 / $2,805.39 / $2,805.39	Professional		$2,805.39	$2,805.39	$2,805.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,537.06 / $4,308.99 / $5,529.76	Professional		$2,537.06	$4,308.99	$5,529.76
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $917.82 / $1,702.14 / $3,796.43	Professional		$917.82	$1,702.14	$3,796.43