Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.02 / $1,527.53 / $14,482.00	Facility		$733.02	$1,527.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.21 / $753.53 / $3,536.77	Professional		$697.21	$753.53	$3,536.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.05 / $1,621.61 / $4,532.57	Professional		$753.05	$1,621.61	$4,532.57
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 $1,953.63 / $2,282.96 / $3,502.13	Facility		$1,953.63	$2,282.96	$3,502.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.70 / $2,975.28 / $3,381.00	Professional		$1,071.70	$2,975.28	$3,381.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $733.02 / $976.61 / $1,697.25	Facility		$733.02	$976.61	$1,697.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $733.02 / $1,514.27 / $8,384.00	Facility		$733.02	$1,514.27	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $786.16 / $1,487.22 / $7,654.52	Professional		$786.16	$1,487.22	$7,654.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $444.23 / $1,436.39	Professional		$66.47	$444.23	$1,436.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $733.02 / $960.32 / $1,697.25	Facility		$733.02	$960.32	$1,697.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,467.70 / $1,788.34 / $2,669.63	Professional		$1,467.70	$1,788.34	$2,669.63
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,597.71 / $7,597.71 / $20,973.00	Facility		$7,597.71	$7,597.71	$20,973.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,392.00 / $3,699.55 / $7,654.52	Professional		$1,392.00	$3,699.55	$7,654.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,431.15 / $2,431.15 / $2,431.15	Professional		$2,431.15	$2,431.15	$2,431.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,161.19 / $3,819.43 / $4,734.97	Professional		$2,161.19	$3,819.43	$4,734.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.94 / $1,479.82 / $3,366.59	Professional		$789.94	$1,479.82	$3,366.59