Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.60 / $1,706.90 / $14,482.00	Facility		$806.60	$1,706.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.30 / $841.13 / $3,767.64	Professional		$772.30	$841.13	$3,767.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $15,141.00 / $22,609.00	Facility		$10,878.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.58 / $1,861.39 / $4,957.59	Professional		$787.58	$1,861.39	$4,957.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24,865.80 / $24,865.80 / $24,865.80	Facility		$24,865.80	$24,865.80	$24,865.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,139.26 / $2,499.89 / $3,834.90	Facility		$2,139.26	$2,499.89	$3,834.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,220.10 / $3,278.32 / $3,725.36	Professional		$1,220.10	$3,278.32	$3,725.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $806.60 / $1,167.80 / $1,782.59	Facility		$806.60	$1,167.80	$1,782.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $806.60 / $1,632.80 / $15,090.00	Facility		$806.60	$1,632.80	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $904.60 / $1,656.68 / $6,554.88	Professional		$904.60	$1,656.68	$6,554.88
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 $806.60 / $1,155.00 / $1,782.59	Facility		$806.60	$1,155.00	$1,782.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,651.00 / $2,011.68 / $3,003.04	Professional		$1,651.00	$2,011.68	$3,003.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22,122.41 / $22,122.41 / $61,067.60	Facility		$22,122.41	$22,122.41	$61,067.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,533.79 / $3,941.05 / $6,554.88	Professional		$1,533.79	$3,941.05	$6,554.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,667.79 / $2,667.79 / $2,667.79	Professional		$2,667.79	$2,667.79	$2,667.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,378.58 / $4,094.90 / $5,217.29	Professional		$2,378.58	$4,094.90	$5,217.29
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.73 / $1,586.87 / $3,586.36	Professional		$889.73	$1,586.87	$3,586.36