Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.77 / $1,527.57 / $9,245.00	Facility		$725.77	$1,527.57	$9,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.77 / $995.62 / $3,960.28	Professional		$725.77	$995.62	$3,960.28
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 $919.42 / $1,674.86 / $4,454.46	Professional		$919.42	$1,674.86	$4,454.46
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 $2,679.03 / $3,130.66 / $4,802.51	Facility		$2,679.03	$3,130.66	$4,802.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,187.58 / $2,851.47 / $4,618.55	Professional		$1,187.58	$2,851.47	$4,618.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $725.77 / $1,164.88 / $2,085.87	Facility		$725.77	$1,164.88	$2,085.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.28 / $1,421.83 / $12,202.00	Facility		$760.28	$1,421.83	$12,202.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,043.82 / $2,240.28 / $7,518.16	Professional		$1,043.82	$2,240.28	$7,518.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $604.03 / $1,935.79	Professional		$95.42	$604.03	$1,935.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $728.24 / $1,164.88 / $2,085.87	Facility		$728.24	$1,164.88	$2,085.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,668.60 / $2,383.32 / $3,473.78	Professional		$1,668.60	$2,383.32	$3,473.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,242.26 / $5,242.26 / $8,171.78	Facility		$5,242.26	$5,242.26	$8,171.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,541.21 / $4,278.42 / $7,518.16	Professional		$1,541.21	$4,278.42	$7,518.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,397.05 / $2,397.05 / $3,279.43	Professional		$2,397.05	$2,397.05	$3,279.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,408.62 / $4,699.70 / $6,468.19	Professional		$2,408.62	$4,699.70	$6,468.19
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,005.63 / $1,991.18 / $4,441.12	Professional		$1,005.63	$1,991.18	$4,441.12