Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.35 / $1,478.88 / $14,482.00	Facility		$700.35	$1,478.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.03 / $731.07 / $3,275.73	Professional		$671.03	$731.07	$3,275.73
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 $685.81 / $1,616.18 / $4,109.77	Professional		$685.81	$1,616.18	$4,109.77
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 $1,869.82 / $2,185.04 / $3,351.90	Facility		$1,869.82	$2,185.04	$3,351.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,057.22 / $2,864.30 / $3,254.89	Professional		$1,057.22	$2,864.30	$3,254.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $657.28 / $907.97 / $1,547.77	Facility		$657.28	$907.97	$1,547.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $667.22 / $1,442.66 / $11,100.00	Facility		$667.22	$1,442.66	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $777.70 / $1,443.21 / $5,349.76	Professional		$777.70	$1,443.21	$5,349.76
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 $657.28 / $906.09 / $1,547.77	Facility		$657.28	$906.09	$1,547.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,436.50 / $1,750.32 / $2,612.88	Professional		$1,436.50	$1,750.32	$2,612.88
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 $1,340.08 / $3,426.50 / $5,349.76	Professional		$1,340.08	$3,426.50	$5,349.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,311.17 / $2,311.17 / $2,311.17	Professional		$2,311.17	$2,311.17	$2,311.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,304.71 / $3,545.17 / $4,558.39	Professional		$2,304.71	$3,545.17	$4,558.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.56 / $1,366.46 / $3,118.12	Professional		$767.56	$1,366.46	$3,118.12