Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.72 / $1,748.03 / $14,482.00	Facility		$843.72	$1,748.03	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.40 / $843.72 / $4,106.21	Professional		$800.40	$843.72	$4,106.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $876.23 / $1,947.05 / $5,258.45	Professional		$876.23	$1,947.05	$5,258.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,669.32 / $2,669.32 / $2,669.32	Facility		$2,669.32	$2,669.32	$2,669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,232.07 / $2,608.36 / $4,001.28	Facility		$2,232.07	$2,608.36	$4,001.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.33 / $3,406.90 / $3,871.48	Professional		$1,304.33	$3,406.90	$3,871.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $831.23 / $1,181.21 / $1,942.25	Facility		$831.23	$1,181.21	$1,942.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.23 / $1,737.28 / $8,292.34	Facility		$831.23	$1,737.28	$8,292.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $953.41 / $1,755.58 / $8,519.70	Professional		$953.41	$1,755.58	$8,519.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $489.62 / $1,597.59	Professional		$66.47	$489.62	$1,597.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $831.23 / $1,165.34 / $1,942.25	Facility		$831.23	$1,165.34	$1,942.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,647.10 / $2,006.93 / $2,995.95	Professional		$1,647.10	$2,006.93	$2,995.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,865.24 / $2,865.24 / $7,909.30	Facility		$2,865.24	$2,865.24	$7,909.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,593.93 / $4,295.20 / $8,519.70	Professional		$1,593.93	$4,295.20	$8,519.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,812.70 / $2,812.70 / $2,812.70	Professional		$2,812.70	$2,812.70	$2,812.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,943.48 / $4,420.24 / $5,421.87	Professional		$2,943.48	$4,420.24	$5,421.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,614.00 / $7,611.00 / $9,134.00	Facility		$4,614.00	$7,611.00	$9,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $944.94 / $1,718.08 / $3,908.63	Professional		$944.94	$1,718.08	$3,908.63