Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.11 / $1,689.61 / $14,482.00	Facility		$798.11	$1,689.61	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.12 / $835.55 / $3,011.27	Professional		$688.12	$835.55	$3,011.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $774.75 / $1,615.71 / $4,886.10	Professional		$774.75	$1,615.71	$4,886.10
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 $2,143.76 / $2,505.16 / $3,842.98	Facility		$2,143.76	$2,505.16	$3,842.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,208.11 / $3,270.84 / $3,716.86	Professional		$1,208.11	$3,270.84	$3,716.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $750.94 / $987.75 / $1,691.99	Facility		$750.94	$987.75	$1,691.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $752.79 / $1,614.52 / $8,384.00	Facility		$752.79	$1,614.52	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $852.80 / $1,555.12 / $6,088.40	Professional		$852.80	$1,555.12	$6,088.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $483.68 / $1,569.33	Professional		$66.47	$483.68	$1,569.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $750.94 / $961.20 / $1,691.99	Facility		$750.94	$961.20	$1,691.99
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,636.05 / $1,993.46 / $2,975.85	Professional		$1,636.05	$1,993.46	$2,975.85
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 $1,530.27 / $3,868.45 / $6,088.40	Professional		$1,530.27	$3,868.45	$6,088.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,629.34 / $2,629.34 / $2,629.34	Professional		$2,629.34	$2,629.34	$2,629.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.88 / $4,028.12 / $5,205.33	Professional		$1,136.88	$4,028.12	$5,205.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.84 / $1,550.54 / $3,454.68	Professional		$856.84	$1,550.54	$3,454.68