Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.48 / $1,770.97 / $13,367.00	Facility		$750.48	$1,770.97	$13,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.48 / $1,770.97 / $4,147.18	Professional		$750.48	$1,770.97	$4,147.18
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 $956.65 / $2,054.48 / $4,936.50	Professional		$956.65	$2,054.48	$4,936.50
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 $4,759.72 / $5,562.10 / $8,532.41	Facility		$4,759.72	$5,562.10	$8,532.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.07 / $3,349.35 / $7,840.09	Professional		$1,243.07	$3,349.35	$7,840.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $750.48 / $1,658.56 / $3,754.46	Facility		$750.48	$1,658.56	$3,754.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $767.19 / $1,851.27 / $12,202.00	Facility		$767.19	$1,851.27	$12,202.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,965.30 / $4,439.97 / $13,032.48	Professional		$1,965.30	$4,439.97	$13,032.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $1,023.18 / $3,276.74	Professional		$158.49	$1,023.18	$3,276.74
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $750.48 / $1,658.56 / $3,754.46	Facility		$750.48	$1,658.56	$3,754.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,767.18 / $3,339.30 / $5,889.68	Professional		$1,767.18	$3,339.30	$5,889.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,349.66 / $5,349.66 / $8,177.99	Facility		$5,349.66	$5,349.66	$8,177.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,808.20 / $7,351.00 / $13,032.48	Professional		$1,808.20	$7,351.00	$13,032.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,830.73 / $4,877.64 / $11,357.59	Professional		$2,830.73	$4,877.64	$11,357.59
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 $1,963.70 / $4,271.08 / $8,830.62	Professional		$1,963.70	$4,271.08	$8,830.62