Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.58 / $1,762.40 / $14,482.00	Facility		$842.58	$1,762.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.38 / $842.58 / $4,025.33	Professional		$833.38	$842.58	$4,025.33
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 $849.07 / $1,944.43 / $5,422.32	Professional		$849.07	$1,944.43	$5,422.32
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 $2,226.67 / $2,602.04 / $3,991.59	Facility		$2,226.67	$2,602.04	$3,991.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.25 / $3,414.08 / $3,879.64	Professional		$1,266.25	$3,414.08	$3,879.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $834.24 / $1,253.26 / $1,958.23	Facility		$834.24	$1,253.26	$1,958.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $842.58 / $1,762.40 / $13,250.00	Facility		$842.58	$1,762.40	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $935.22 / $1,783.89 / $13,243.52	Professional		$935.22	$1,783.89	$13,243.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $491.84 / $1,588.85	Professional		$66.47	$491.84	$1,588.85
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $834.24 / $1,212.74 / $1,958.23	Facility		$834.24	$1,212.74	$1,958.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,662.70 / $2,025.94 / $3,024.32	Professional		$1,662.70	$2,025.94	$3,024.32
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 $1,597.30 / $5,022.75 / $13,243.52	Professional		$1,597.30	$5,022.75	$13,243.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,795.65 / $2,795.65 / $2,795.65	Professional		$2,795.65	$2,795.65	$2,795.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,572.64 / $4,302.47 / $5,433.35	Professional		$2,572.64	$4,302.47	$5,433.35
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 $913.43 / $1,688.34 / $3,831.65	Professional		$913.43	$1,688.34	$3,831.65