Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.32 / $2,639.68 / $13,367.00	Facility		$661.32	$2,639.68	$13,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $661.32 / $2,597.21 / $5,649.46	Professional		$661.32	$2,597.21	$5,649.46
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 $890.64 / $1,983.22 / $4,586.63	Professional		$890.64	$1,983.22	$4,586.63
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 $7,062.08 / $8,252.60 / $12,659.69	Facility		$7,062.08	$8,252.60	$12,659.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.52 / $3,064.31 / $11,956.24	Professional		$1,098.52	$3,064.31	$11,956.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $624.73 / $1,461.52 / $5,359.67	Facility		$624.73	$1,461.52	$5,359.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $653.04 / $2,535.36 / $7,318.00	Facility		$653.04	$2,535.36	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,887.42 / $6,356.99 / $19,122.08	Professional		$2,887.42	$6,356.99	$19,122.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.57 / $1,467.29 / $4,760.50	Professional		$221.57	$1,467.29	$4,760.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $1,461.52 / $5,359.67	Facility		$643.10	$1,461.52	$5,359.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,553.62 / $3,007.86 / $8,564.16	Professional		$1,553.62	$3,007.86	$8,564.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,707.47 / $4,707.47 / $7,597.71	Facility		$4,707.47	$4,707.47	$7,597.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,590.91 / $9,616.04 / $19,122.08	Professional		$1,590.91	$9,616.04	$19,122.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,195.67 / $2,195.67 / $9,023.12	Professional		$2,195.67	$2,195.67	$9,023.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.71 / $4,291.52 / $16,744.25	Professional		$2,094.71	$4,291.52	$16,744.25
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 $2,835.06 / $5,630.85 / $12,602.09	Professional		$2,835.06	$5,630.85	$12,602.09