Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.50 / $1,914.77 / $14,482.00	Facility		$908.50	$1,914.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.98 / $946.94 / $4,265.18	Professional		$871.98	$946.94	$4,265.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $16,493.00 / $23,358.00	Facility		$12,080.00	$16,493.00	$23,358.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $892.52 / $2,096.55 / $5,581.28	Professional		$892.52	$2,096.55	$5,581.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23,342.77 / $23,342.77 / $23,342.77	Facility		$23,342.77	$23,342.77	$23,342.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,416.80 / $2,824.23 / $4,332.43	Facility		$2,416.80	$2,824.23	$4,332.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,379.70 / $3,708.84 / $4,214.59	Professional		$1,379.70	$3,708.84	$4,214.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $908.50 / $1,288.00 / $1,939.75	Facility		$908.50	$1,288.00	$1,939.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $908.50 / $1,829.67 / $19,562.00	Facility		$908.50	$1,829.67	$19,562.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,025.80 / $1,810.58 / $6,937.60	Professional		$1,025.80	$1,810.58	$6,937.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $567.82 / $1,773.71	Professional		$66.47	$567.82	$1,773.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $908.50 / $1,288.00 / $1,939.75	Facility		$908.50	$1,288.00	$1,939.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,864.20 / $2,271.46 / $3,390.84	Professional		$1,864.20	$2,271.46	$3,390.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20,636.00 / $20,636.00 / $56,964.45	Facility		$20,636.00	$20,636.00	$56,964.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,735.19 / $4,461.50 / $6,937.60	Professional		$1,735.19	$4,461.50	$6,937.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,003.41 / $3,003.41 / $3,003.41	Professional		$3,003.41	$3,003.41	$3,003.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,732.11 / $4,612.28 / $5,902.39	Professional		$2,732.11	$4,612.28	$5,902.39
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $19,562.00	Facility		$8,650.00	$14,566.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.68 / $1,800.00 / $4,059.97	Professional		$1,011.68	$1,800.00	$4,059.97