Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.66 / $1,758.02 / $14,482.00	Facility		$833.66	$1,758.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.04 / $868.99 / $3,919.41	Professional		$800.04	$868.99	$3,919.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.57 / $1,923.83 / $5,119.53	Professional		$819.57	$1,923.83	$5,119.53
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 $2,220.36 / $2,594.67 / $3,980.28	Facility		$2,220.36	$2,594.67	$3,980.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.44 / $3,406.01 / $3,870.46	Professional		$1,254.44	$3,406.01	$3,870.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $833.66 / $1,099.00 / $1,839.12	Facility		$833.66	$1,099.00	$1,839.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $833.66 / $1,679.88 / $15,090.00	Facility		$833.66	$1,679.88	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $915.49 / $1,729.54 / $6,369.92	Professional		$915.49	$1,729.54	$6,369.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $509.61 / $1,631.49	Professional		$65.66	$509.61	$1,631.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $833.66 / $1,099.00 / $1,839.12	Facility		$833.66	$1,099.00	$1,839.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,710.15 / $2,083.75 / $3,110.63	Professional		$1,710.15	$2,083.75	$3,110.63
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 $1,593.51 / $4,099.80 / $6,369.92	Professional		$1,593.51	$4,099.80	$6,369.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.93 / $2,754.93 / $2,754.93	Professional		$2,754.93	$2,754.93	$2,754.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $994.77 / $4,232.87 / $5,420.42	Professional		$994.77	$4,232.87	$5,420.42
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $901.96 / $1,658.19 / $3,730.82	Professional		$901.96	$1,658.19	$3,730.82