Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.06 / $1,877.27 / $14,482.00	Facility		$915.06	$1,877.27	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.41 / $933.88 / $3,727.44	Professional		$865.41	$933.88	$3,727.44
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 $709.69 / $1,794.93 / $4,662.26	Professional		$709.69	$1,794.93	$4,662.26
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 $2,444.73 / $2,856.87 / $4,382.51	Facility		$2,444.73	$2,856.87	$4,382.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.31 / $3,504.23 / $4,200.30	Professional		$1,195.31	$3,504.23	$4,200.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $877.66 / $1,070.61 / $1,939.93	Facility		$877.66	$1,070.61	$1,939.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $915.06 / $1,467.68 / $11,598.00	Facility		$915.06	$1,467.68	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $744.95 / $1,559.60 / $6,822.32	Professional		$744.95	$1,559.60	$6,822.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $543.38 / $1,758.51	Professional		$94.25	$543.38	$1,758.51
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $834.34 / $1,070.61 / $1,939.93	Facility		$834.34	$1,070.61	$1,939.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,800.50 / $2,193.84 / $3,145.61	Professional		$1,800.50	$2,193.84	$3,145.61
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 $1,677.45 / $3,899.00 / $6,822.32	Professional		$1,677.45	$3,899.00	$6,822.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,625.77 / $2,625.77 / $2,625.77	Professional		$2,625.77	$2,625.77	$2,625.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.48 / $3,771.13 / $5,882.40	Professional		$1,689.48	$3,771.13	$5,882.40
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 $734.74 / $1,305.14 / $3,431.12	Professional		$734.74	$1,305.14	$3,431.12