Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.50 / $2,063.67 / $14,482.00	Facility		$979.50	$2,063.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.71 / $1,020.53 / $4,611.89	Professional		$940.71	$1,020.53	$4,611.89
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 $956.61 / $2,260.39 / $5,843.42	Professional		$956.61	$2,260.39	$5,843.42
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 $2,604.23 / $3,043.26 / $4,668.43	Facility		$2,604.23	$3,043.26	$4,668.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.18 / $3,998.12 / $4,543.31	Professional		$1,540.18	$3,998.12	$4,543.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $979.50 / $1,339.25 / $2,164.69	Facility		$979.50	$1,339.25	$2,164.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $979.50 / $1,971.96 / $11,598.00	Facility		$979.50	$1,971.96	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,149.14 / $2,090.98 / $7,482.80	Professional		$1,149.14	$2,090.98	$7,482.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $608.25 / $1,954.44	Professional		$66.47	$608.25	$1,954.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $979.50 / $1,278.80 / $2,164.69	Facility		$979.50	$1,278.80	$2,164.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2,010.45 / $2,449.66 / $3,656.85	Professional		$2,010.45	$2,449.66	$3,656.85
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 $1,870.55 / $4,824.14 / $7,482.80	Professional		$1,870.55	$4,824.14	$7,482.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.97 / $3,240.97 / $3,240.97	Professional		$3,240.97	$3,240.97	$3,240.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.65 / $4,978.84 / $6,362.79	Professional		$2,131.65	$4,978.84	$6,362.79
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,061.31 / $2,030.46 / $4,308.16	Professional		$1,061.31	$2,030.46	$4,308.16