Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.74 / $1,431.52 / $14,482.00	Facility		$677.74	$1,431.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.19 / $707.58 / $3,167.18	Professional		$649.19	$707.58	$3,167.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.27 / $1,564.01 / $3,978.95	Professional		$660.27	$1,564.01	$3,978.95
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 $1,811.25 / $2,116.59 / $3,246.90	Facility		$1,811.25	$2,116.59	$3,246.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.43 / $2,772.61 / $3,150.69	Professional		$1,023.43	$2,772.61	$3,150.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $677.74 / $942.00 / $1,478.83	Facility		$677.74	$942.00	$1,478.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $677.74 / $1,367.89 / $11,100.00	Facility		$677.74	$1,367.89	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $755.13 / $1,394.92 / $5,175.84	Professional		$755.13	$1,394.92	$5,175.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $401.29 / $1,321.93	Professional		$66.47	$401.29	$1,321.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $677.74 / $942.00 / $1,478.83	Facility		$677.74	$942.00	$1,478.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,389.70 / $1,693.30 / $2,527.76	Professional		$1,389.70	$1,693.30	$2,527.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,297.18 / $3,312.95 / $5,175.84	Professional		$1,297.18	$3,312.95	$5,175.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,237.60 / $2,237.60 / $2,237.60	Professional		$2,237.60	$2,237.60	$2,237.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,321.62 / $3,432.19 / $4,412.41	Professional		$1,321.62	$3,432.19	$4,412.41
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.32 / $1,351.68 / $3,179.31	Professional		$724.32	$1,351.68	$3,179.31