Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.52 / $1,627.38 / $14,482.00	Facility		$779.52	$1,627.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.67 / $779.52 / $3,738.25	Professional		$757.67	$779.52	$3,738.25
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 $789.09 / $1,798.90 / $4,809.96	Professional		$789.09	$1,798.90	$4,809.96
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 $2,065.37 / $2,413.54 / $3,702.44	Facility		$2,065.37	$2,413.54	$3,702.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.33 / $3,157.34 / $3,587.89	Professional		$1,122.33	$3,157.34	$3,587.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $770.31 / $1,140.78 / $1,808.20	Facility		$770.31	$1,140.78	$1,808.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $779.52 / $1,606.48 / $13,250.00	Facility		$779.52	$1,606.48	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $859.11 / $1,577.31 / $8,985.31	Professional		$859.11	$1,577.31	$8,985.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $453.65 / $1,473.55	Professional		$66.47	$453.65	$1,473.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $770.31 / $1,131.73 / $1,808.20	Facility		$770.31	$1,131.73	$1,808.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,535.30 / $1,870.70 / $2,792.59	Professional		$1,535.30	$1,870.70	$2,792.59
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 $1,477.18 / $3,910.30 / $8,985.31	Professional		$1,477.18	$3,910.30	$8,985.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,588.34 / $2,588.34 / $2,588.34	Professional		$2,588.34	$2,588.34	$2,588.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.65 / $4,017.81 / $5,024.68	Professional		$2,131.65	$4,017.81	$5,024.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $837.76 / $1,577.31 / $3,570.10	Professional		$837.76	$1,577.31	$3,570.10