Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.03 / $1,927.17 / $14,482.00	Facility		$914.03	$1,927.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $877.40 / $952.91 / $4,293.92	Professional		$877.40	$952.91	$4,293.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.57 / $2,109.31 / $5,376.89	Professional		$899.57	$2,109.31	$5,376.89
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 $2,432.12 / $2,842.13 / $4,359.89	Facility		$2,432.12	$2,842.13	$4,359.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,439.33 / $3,732.18 / $4,241.10	Professional		$1,439.33	$3,732.18	$4,241.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $914.03 / $1,370.43 / $2,141.30	Facility		$914.03	$1,370.43	$2,141.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.03 / $1,895.81 / $13,120.00	Facility		$914.03	$1,895.81	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,032.99 / $1,902.56 / $8,623.71	Professional		$1,032.99	$1,902.56	$8,623.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $573.38 / $1,812.00	Professional		$66.47	$573.38	$1,812.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $914.03 / $1,324.36 / $2,141.30	Facility		$914.03	$1,324.36	$2,141.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,875.90 / $2,285.71 / $3,412.12	Professional		$1,875.90	$2,285.71	$3,412.12
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 $1,746.11 / $4,491.55 / $8,623.71	Professional		$1,746.11	$4,491.55	$8,623.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,023.75 / $3,023.75 / $3,023.75	Professional		$3,023.75	$3,023.75	$3,023.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,557.98 / $4,642.00 / $5,939.53	Professional		$2,557.98	$4,642.00	$5,939.53
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 $1,013.75 / $1,816.90 / $4,100.79	Professional		$1,013.75	$1,816.90	$4,100.79