Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.01 / $2,051.69 / $14,482.00	Facility		$982.01	$2,051.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.70 / $992.73 / $3,875.41	Professional		$964.70	$992.73	$3,875.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,058.08 / $2,266.17 / $6,324.17	Professional		$1,058.08	$2,266.17	$6,324.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,995.29 / $5,995.29 / $5,995.29	Facility		$5,995.29	$5,995.29	$5,995.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,602.42 / $3,041.15 / $4,665.20	Facility		$2,602.42	$3,041.15	$4,665.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,488.62 / $3,981.96 / $4,524.95	Professional		$1,488.62	$3,981.96	$4,524.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $969.22 / $1,410.84 / $2,279.65	Facility		$969.22	$1,410.84	$2,279.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $982.01 / $2,024.01 / $13,250.00	Facility		$982.01	$2,024.01	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,139.85 / $2,180.86 / $9,057.00	Professional		$1,139.85	$2,180.86	$9,057.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $569.37 / $1,836.58	Professional		$66.47	$569.37	$1,836.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $969.22 / $1,410.84 / $2,279.65	Facility		$969.22	$1,410.84	$2,279.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,935.70 / $2,358.58 / $3,520.89	Professional		$1,935.70	$2,358.58	$3,520.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,994.41 / $5,994.41 / $16,547.20	Facility		$5,994.41	$5,994.41	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,862.97 / $5,133.05 / $9,057.00	Professional		$1,862.97	$5,133.05	$9,057.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.31 / $5,485.96 / $6,336.99	Professional		$1,435.31	$5,485.96	$6,336.99
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $15,126.00	Facility		$5,266.00	$11,608.00	$15,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,129.27 / $2,094.28 / $4,671.08	Professional		$1,129.27	$2,094.28	$4,671.08