Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.47 / $1,709.12 / $14,482.00	Facility		$809.47	$1,709.12	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.75 / $844.98 / $3,784.42	Professional		$775.75	$844.98	$3,784.42
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 $790.48 / $1,868.02 / $4,968.56	Professional		$790.48	$1,868.02	$4,968.56
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 $2,161.79 / $2,526.21 / $3,875.28	Facility		$2,161.79	$2,526.21	$3,875.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,221.66 / $3,311.28 / $3,762.81	Professional		$1,221.66	$3,311.28	$3,762.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $809.47 / $1,165.98 / $1,760.00	Facility		$809.47	$1,165.98	$1,760.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $809.47 / $1,659.00 / $13,250.00	Facility		$809.47	$1,659.00	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $887.30 / $1,594.32 / $6,185.20	Professional		$887.30	$1,594.32	$6,185.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $489.40 / $1,572.25	Professional		$66.47	$489.40	$1,572.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $809.47 / $1,165.98 / $1,760.00	Facility		$809.47	$1,165.98	$1,760.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,660.75 / $2,023.56 / $3,020.78	Professional		$1,660.75	$2,023.56	$3,020.78
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 $1,549.19 / $3,958.60 / $6,185.20	Professional		$1,549.19	$3,958.60	$6,185.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,673.69 / $2,673.69 / $2,673.69	Professional		$2,673.69	$2,673.69	$2,673.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.82 / $4,101.14 / $5,269.65	Professional		$2,344.82	$4,101.14	$5,269.65
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.79 / $1,594.32 / $3,798.91	Professional		$865.79	$1,594.32	$3,798.91