Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.65 / $1,981.44 / $14,482.00	Facility		$940.65	$1,981.44	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $903.14 / $979.48 / $4,422.64	Professional		$903.14	$979.48	$4,422.64
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 $919.99 / $2,170.73 / $5,779.42	Professional		$919.99	$2,170.73	$5,779.42
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 $2,502.41 / $2,924.26 / $4,485.89	Facility		$2,502.41	$2,924.26	$4,485.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,428.01 / $3,840.11 / $4,363.76	Professional		$1,428.01	$3,840.11	$4,363.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $940.65 / $1,409.02 / $2,201.60	Facility		$940.65	$1,409.02	$2,201.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $940.65 / $1,948.70 / $11,598.00	Facility		$940.65	$1,948.70	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,064.07 / $1,948.00 / $7,220.28	Professional		$1,064.07	$1,948.00	$7,220.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $588.03 / $1,857.67	Professional		$66.47	$588.03	$1,857.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $940.65 / $1,363.32 / $2,201.60	Facility		$940.65	$1,363.32	$2,201.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,928.55 / $2,349.86 / $3,507.88	Professional		$1,928.55	$2,349.86	$3,507.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,796.62 / $4,626.20 / $7,220.28	Professional		$1,796.62	$4,626.20	$7,220.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,110.03 / $3,110.03 / $3,110.03	Professional		$3,110.03	$3,110.03	$3,110.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.82 / $4,779.71 / $6,111.32	Professional		$2,344.82	$4,779.71	$6,111.32
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 $1,009.46 / $1,863.00 / $4,209.84	Professional		$1,009.46	$1,863.00	$4,209.84