Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.71 / $1,550.68 / $14,482.00	Facility		$740.71	$1,550.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.71 / $757.12 / $3,423.20	Professional		$740.71	$757.12	$3,423.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $10,038.00	Facility		$2,740.00	$4,780.00	$10,038.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.54 / $1,709.32 / $4,657.18	Professional		$717.54	$1,709.32	$4,657.18
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 $1,965.34 / $2,296.66 / $3,523.13	Facility		$1,965.34	$2,296.66	$3,523.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.84 / $3,018.28 / $3,429.86	Professional		$1,127.84	$3,018.28	$3,429.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $740.71 / $1,082.20 / $1,676.05	Facility		$740.71	$1,082.20	$1,676.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $740.71 / $1,523.94 / $13,120.00	Facility		$740.71	$1,523.94	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $844.97 / $1,572.16 / $7,223.58	Professional		$844.97	$1,572.16	$7,223.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $447.19 / $1,442.23	Professional		$66.47	$447.19	$1,442.23
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $740.71 / $1,044.35 / $1,676.05	Facility		$740.71	$1,044.35	$1,676.05
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,484.60 / $1,808.93 / $2,700.37	Professional		$1,484.60	$1,808.93	$2,700.37
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 $1,412.11 / $3,580.75 / $7,223.58	Professional		$1,412.11	$3,580.75	$7,223.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,442.75 / $2,442.75 / $2,442.75	Professional		$2,442.75	$2,442.75	$2,442.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,310.85 / $4,065.73 / $4,803.37	Professional		$2,310.85	$4,065.73	$4,803.37
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 $796.84 / $1,502.70 / $3,258.48	Professional		$796.84	$1,502.70	$3,258.48