Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.71 / $1,593.72 / $14,482.00	Facility		$752.71	$1,593.72	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.43 / $793.93 / $3,568.13	Professional		$721.43	$793.93	$3,568.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.62 / $1,737.02 / $4,465.74	Professional		$744.62	$1,737.02	$4,465.74
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 $2,022.11 / $2,363.00 / $3,624.90	Facility		$2,022.11	$2,363.00	$3,624.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,138.43 / $3,098.82 / $3,521.39	Professional		$1,138.43	$3,098.82	$3,521.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $729.98 / $987.71 / $1,663.30	Facility		$729.98	$987.71	$1,663.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $752.71 / $1,522.89 / $11,100.00	Facility		$752.71	$1,522.89	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $818.19 / $1,500.40 / $5,788.16	Professional		$818.19	$1,500.40	$5,788.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $448.58 / $1,517.70	Professional		$66.47	$448.58	$1,517.70
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $729.98 / $983.65 / $1,663.30	Facility		$729.98	$983.65	$1,663.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,547.65 / $1,885.75 / $2,815.06	Professional		$1,547.65	$1,885.75	$2,815.06
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,449.80 / $3,732.35 / $5,788.16	Professional		$1,449.80	$3,732.35	$5,788.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.36 / $2,511.36 / $2,511.36	Professional		$2,511.36	$2,511.36	$2,511.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,243.90 / $3,850.09 / $4,931.59	Professional		$2,243.90	$3,850.09	$4,931.59
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 $814.54 / $1,493.93 / $3,541.96	Professional		$814.54	$1,493.93	$3,541.96