Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.91 / $1,945.35 / $14,482.00	Facility		$922.91	$1,945.35	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.92 / $962.01 / $4,339.57	Professional		$885.92	$962.01	$4,339.57
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 $908.81 / $2,129.79 / $5,429.81	Professional		$908.81	$2,129.79	$5,429.81
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 $2,455.55 / $2,869.51 / $4,401.89	Facility		$2,455.55	$2,869.51	$4,401.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,464.59 / $3,768.60 / $4,282.50	Professional		$1,464.59	$3,768.60	$4,282.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $922.91 / $1,383.36 / $1,956.57	Facility		$922.91	$1,383.36	$1,956.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $922.91 / $1,913.48 / $13,120.00	Facility		$922.91	$1,913.48	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,057.70 / $1,993.03 / $7,050.08	Professional		$1,057.70	$1,993.03	$7,050.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $583.76 / $1,857.67	Professional		$66.47	$583.76	$1,857.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $922.91 / $1,338.03 / $1,956.57	Facility		$922.91	$1,338.03	$1,956.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,894.10 / $2,307.89 / $3,445.22	Professional		$1,894.10	$2,307.89	$3,445.22
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 $1,763.16 / $4,539.30 / $7,050.08	Professional		$1,763.16	$4,539.30	$7,050.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,053.53 / $3,053.53 / $3,053.53	Professional		$3,053.53	$3,053.53	$3,053.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,557.98 / $4,689.56 / $5,997.49	Professional		$2,557.98	$4,689.56	$5,997.49
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 $1,047.65 / $1,967.51 / $4,130.76	Professional		$1,047.65	$1,967.51	$4,130.76