Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.40 / $1,425.89 / $14,482.00	Facility		$674.40	$1,425.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.04 / $705.34 / $3,131.95	Professional		$645.04	$705.34	$3,131.95
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 $654.64 / $1,556.30 / $3,954.12	Professional		$654.64	$1,556.30	$3,954.12
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 $1,805.84 / $2,110.27 / $3,237.21	Facility		$1,805.84	$2,110.27	$3,237.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.82 / $2,759.69 / $3,136.01	Professional		$1,031.82	$2,759.69	$3,136.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $674.40 / $993.83 / $1,465.26	Facility		$674.40	$993.83	$1,465.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $674.40 / $1,358.02 / $11,100.00	Facility		$674.40	$1,358.02	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $746.90 / $1,330.78 / $5,145.35	Professional		$746.90	$1,330.78	$5,145.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $401.29 / $1,306.38	Professional		$66.47	$401.29	$1,306.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $674.40 / $974.53 / $1,465.26	Facility		$674.40	$974.53	$1,465.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,383.85 / $1,686.17 / $2,517.12	Professional		$1,383.85	$1,686.17	$2,517.12
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 $1,291.14 / $3,276.10 / $5,145.35	Professional		$1,291.14	$3,276.10	$5,145.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,223.63 / $2,223.63 / $2,223.63	Professional		$2,223.63	$2,223.63	$2,223.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.05 / $3,406.57 / $4,391.87	Professional		$1,350.05	$3,406.57	$4,391.87
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 $730.86 / $1,305.32 / $2,981.25	Professional		$730.86	$1,305.32	$2,981.25