Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.29 / $1,870.99 / $14,482.00	Facility		$887.29	$1,870.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.46 / $925.13 / $4,163.47	Professional		$851.46	$925.13	$4,163.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.03 / $2,047.59 / $5,451.84	Professional		$872.03	$2,047.59	$5,451.84
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 $2,363.64 / $2,762.10 / $4,237.13	Facility		$2,363.64	$2,762.10	$4,237.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,441.69 / $3,625.52 / $4,119.91	Professional		$1,441.69	$3,625.52	$4,119.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $887.29 / $1,330.48 / $1,960.91	Facility		$887.29	$1,330.48	$1,960.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $887.29 / $1,830.40 / $15,090.00	Facility		$887.29	$1,830.40	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,030.60 / $1,929.48 / $7,097.00	Professional		$1,030.60	$1,929.48	$7,097.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $556.26 / $1,751.19	Professional		$66.47	$556.26	$1,751.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $887.29 / $1,285.67 / $1,960.91	Facility		$887.29	$1,285.67	$1,960.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,820.65 / $2,218.39 / $3,311.62	Professional		$1,820.65	$2,218.39	$3,311.62
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 $1,696.22 / $4,355.10 / $7,097.00	Professional		$1,696.22	$4,355.10	$7,097.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,933.76 / $2,933.76 / $2,933.76	Professional		$2,933.76	$2,933.76	$2,933.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,847.43 / $4,504.76 / $5,769.81	Professional		$1,847.43	$4,504.76	$5,769.81
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $987.67 / $1,952.35 / $4,179.42	Professional		$987.67	$1,952.35	$4,179.42