Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.95 / $1,476.00 / $14,482.00	Facility		$698.95	$1,476.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.71 / $729.74 / $3,268.37	Professional		$669.71	$729.74	$3,268.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $14,586.00	Facility		$5,169.00	$8,408.00	$14,586.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.26 / $1,422.10 / $4,286.18	Professional		$684.26	$1,422.10	$4,286.18
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 $1,866.22 / $2,180.83 / $3,345.44	Facility		$1,866.22	$2,180.83	$3,345.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.83 / $2,858.19 / $3,247.94	Professional		$1,055.83	$2,858.19	$3,247.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $698.95 / $1,010.90 / $1,531.34	Facility		$698.95	$1,010.90	$1,531.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $698.95 / $1,410.40 / $15,090.00	Facility		$698.95	$1,410.40	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $785.17 / $1,380.42 / $5,338.00	Professional		$785.17	$1,380.42	$5,338.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $421.51 / $1,392.12	Professional		$66.47	$421.51	$1,392.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $698.95 / $994.96 / $1,531.34	Facility		$698.95	$994.96	$1,531.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,433.90 / $1,747.15 / $2,608.15	Professional		$1,433.90	$1,747.15	$2,608.15
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 $1,337.23 / $3,418.80 / $5,338.00	Professional		$1,337.23	$3,418.80	$5,338.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,306.48 / $2,306.48 / $2,306.48	Professional		$2,306.48	$2,306.48	$2,306.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.21 / $3,539.13 / $4,548.64	Professional		$1,563.21	$3,539.13	$4,548.64
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $12,447.00 / $17,450.00	Facility		$6,154.00	$12,447.00	$17,450.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.96 / $1,394.87 / $3,111.11	Professional		$778.96	$1,394.87	$3,111.11