Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.90 / $1,671.08 / $14,482.00	Facility		$789.90	$1,671.08	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.06 / $823.44 / $3,695.94	Professional		$756.06	$823.44	$3,695.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,123.00 / $17,403.00 / $23,778.77	Facility		$13,123.00	$17,403.00	$23,778.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.11 / $1,822.84 / $4,850.96	Professional		$775.11	$1,822.84	$4,850.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32,028.15 / $32,028.15 / $32,028.15	Facility		$32,028.15	$32,028.15	$32,028.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,106.82 / $2,461.98 / $3,776.75	Facility		$2,106.82	$2,461.98	$3,776.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,193.58 / $3,227.36 / $3,667.45	Professional		$1,193.58	$3,227.36	$3,667.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $789.90 / $1,132.36 / $1,674.59	Facility		$789.90	$1,132.36	$1,674.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $789.90 / $1,616.78 / $19,562.00	Facility		$789.90	$1,616.78	$19,562.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $875.86 / $1,554.15 / $6,020.56	Professional		$875.86	$1,554.15	$6,020.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $483.17 / $1,572.25	Professional		$66.47	$483.17	$1,572.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $789.90 / $1,114.05 / $1,674.59	Facility		$789.90	$1,114.05	$1,674.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,615.90 / $1,968.91 / $2,939.20	Professional		$1,615.90	$1,968.91	$2,939.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30,360.25 / $30,360.25 / $83,807.64	Facility		$30,360.25	$30,360.25	$83,807.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,509.94 / $3,866.05 / $6,020.56	Professional		$1,509.94	$3,866.05	$6,020.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,610.42 / $2,610.42 / $2,610.42	Professional		$2,610.42	$2,610.42	$2,610.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,341.50 / $4,002.39 / $5,136.17	Professional		$2,341.50	$4,002.39	$5,136.17
United Facility/Professional Facility Modifier Low / Median / High Price $7,775.00 / $14,249.00 / $19,562.00	Facility		$7,775.00	$14,249.00	$19,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.21 / $1,629.21 / $3,658.56	Professional		$868.21	$1,629.21	$3,658.56