Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.67 / $1,591.20 / $3,300.11	Facility		$743.67	$1,591.20	$3,300.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.67 / $859.52 / $3,497.62	Professional		$743.67	$859.52	$3,497.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.36 / $1,716.17 / $4,567.10	Professional		$836.36	$1,716.17	$4,567.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.71 / $2,739.98 / $4,203.21	Facility		$2,344.71	$2,739.98	$4,203.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.43 / $2,616.23 / $4,215.91	Professional		$1,138.43	$2,616.23	$4,215.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $743.67 / $1,005.64 / $1,835.71	Facility		$743.67	$1,005.64	$1,835.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $743.67 / $1,172.56 / $4,377.80	Facility		$743.67	$1,172.56	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $944.31 / $1,911.03 / $6,642.56	Professional		$944.31	$1,911.03	$6,642.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.42 / $531.57 / $1,719.57	Professional		$95.42	$531.57	$1,719.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $743.67 / $987.65 / $1,835.71	Facility		$743.67	$987.65	$1,835.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,725.84 / $2,198.59 / $3,196.92	Professional		$1,725.84	$2,198.59	$3,196.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $3,665.60	Facility		$3,244.77	$3,244.77	$3,665.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,566.94 / $3,757.50 / $6,642.56	Professional		$1,566.94	$3,757.50	$6,642.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,371.23 / $4,887.39 / $5,680.59	Professional		$2,371.23	$4,887.39	$5,680.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $913.79 / $1,695.75 / $3,813.40	Professional		$913.79	$1,695.75	$3,813.40