Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.83 / $1,399.93 / $14,482.00	Facility		$661.83	$1,399.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.64 / $698.67 / $2,644.31	Professional		$625.64	$698.67	$2,644.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.37 / $1,527.30 / $4,057.79	Professional		$646.37	$1,527.30	$4,057.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,768.90 / $2,067.10 / $3,170.98	Facility		$1,768.90	$2,067.10	$3,170.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.23 / $2,708.06 / $3,077.34	Professional		$1,001.23	$2,708.06	$3,077.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $661.83 / $943.84 / $1,438.46	Facility		$661.83	$943.84	$1,438.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $661.83 / $1,355.67 / $11,598.00	Facility		$661.83	$1,355.67	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $739.50 / $1,338.75 / $5,054.08	Professional		$739.50	$1,338.75	$5,054.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $401.29 / $1,306.38	Professional		$66.47	$401.29	$1,306.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $661.83 / $943.84 / $1,438.46	Facility		$661.83	$943.84	$1,438.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,359.80 / $1,656.86 / $2,473.37	Professional		$1,359.80	$1,656.86	$2,473.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $21,551.95	Facility		$7,213.88	$7,213.88	$21,551.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,266.99 / $3,231.45 / $5,054.08	Professional		$1,266.99	$3,231.45	$5,054.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,183.60 / $2,183.60 / $2,183.60	Professional		$2,183.60	$2,183.60	$2,183.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.43 / $3,349.97 / $4,309.77	Professional		$1,847.43	$3,349.97	$4,309.77
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.91 / $1,378.10 / $3,101.09	Professional		$716.91	$1,378.10	$3,101.09