Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $761.85 / $1,610.23 / $14,482.00	Facility		$761.85	$1,610.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $731.94 / $796.32 / $3,569.85	Professional		$731.94	$796.32	$3,569.85
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 $746.31 / $1,758.11 / $4,474.20	Professional		$746.31	$1,758.11	$4,474.20
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 $2,033.83 / $2,376.69 / $3,645.90	Facility		$2,033.83	$2,376.69	$3,645.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.54 / $3,116.98 / $3,542.03	Professional		$1,150.54	$3,116.98	$3,542.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $761.85 / $989.62 / $1,675.63	Facility		$761.85	$989.62	$1,675.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $761.85 / $1,538.67 / $13,120.00	Facility		$761.85	$1,538.67	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $842.74 / $1,527.61 / $5,824.16	Professional		$842.74	$1,527.61	$5,824.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $470.29 / $1,525.19	Professional		$66.47	$470.29	$1,525.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $761.85 / $984.87 / $1,675.63	Facility		$761.85	$984.87	$1,675.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,565.85 / $1,907.93 / $2,848.16	Professional		$1,565.85	$1,907.93	$2,848.16
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 $1,458.30 / $3,734.15 / $5,824.16	Professional		$1,458.30	$3,734.15	$5,824.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,516.13 / $2,516.13 / $2,516.13	Professional		$2,516.13	$2,516.13	$2,516.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,286.33 / $3,861.43 / $4,960.50	Professional		$2,286.33	$3,861.43	$4,960.50
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 $842.74 / $1,588.48 / $3,398.08	Professional		$842.74	$1,588.48	$3,398.08