Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.38 / $1,426.01 / $14,482.00	Facility		$673.38	$1,426.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $642.79 / $704.70 / $3,105.09	Professional		$642.79	$704.70	$3,105.09
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 $647.53 / $1,346.75 / $4,121.77	Professional		$647.53	$1,346.75	$4,121.77
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 $1,808.55 / $2,113.42 / $3,242.06	Facility		$1,808.55	$2,113.42	$3,242.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.05 / $2,759.48 / $3,135.78	Professional		$1,018.05	$2,759.48	$3,135.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $673.38 / $950.67 / $1,488.17	Facility		$673.38	$950.67	$1,488.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $673.38 / $1,351.18 / $11,598.00	Facility		$673.38	$1,351.18	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $719.50 / $1,305.70 / $5,135.04	Professional		$719.50	$1,305.70	$5,135.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $422.02 / $1,371.06	Professional		$66.47	$422.02	$1,371.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $673.38 / $942.73 / $1,488.17	Facility		$673.38	$942.73	$1,488.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,379.95 / $1,681.42 / $2,510.02	Professional		$1,379.95	$1,681.42	$2,510.02
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 $1,291.05 / $3,248.00 / $5,135.04	Professional		$1,291.05	$3,248.00	$5,135.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,218.01 / $2,218.01 / $2,218.01	Professional		$2,218.01	$2,218.01	$2,218.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.38 / $3,389.93 / $4,391.59	Professional		$2,046.38	$3,389.93	$4,391.59
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 $708.61 / $1,292.35 / $2,955.68	Professional		$708.61	$1,292.35	$2,955.68