Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.09 / $1,504.53 / $14,482.00	Facility		$712.09	$1,504.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.65 / $743.76 / $3,315.69	Professional		$681.65	$743.76	$3,315.69
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 $693.51 / $1,424.33 / $4,180.02	Professional		$693.51	$1,424.33	$4,180.02
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 $1,904.07 / $2,225.05 / $3,413.29	Facility		$1,904.07	$2,225.05	$3,413.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,126.75 / $2,913.98 / $3,311.34	Professional		$1,126.75	$2,913.98	$3,311.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $712.09 / $918.83 / $1,509.63	Facility		$712.09	$918.83	$1,509.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $712.09 / $1,343.49 / $13,120.00	Facility		$712.09	$1,343.49	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.31 / $1,503.30 / $5,633.52	Professional		$776.31	$1,503.30	$5,633.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $432.10 / $1,456.45	Professional		$66.47	$432.10	$1,456.45
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $712.09 / $918.63 / $1,509.63	Facility		$712.09	$918.63	$1,509.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,459.90 / $1,778.83 / $2,655.45	Professional		$1,459.90	$1,778.83	$2,655.45
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 $1,363.32 / $3,468.30 / $5,633.52	Professional		$1,363.32	$3,468.30	$5,633.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,350.67 / $2,350.67 / $2,350.67	Professional		$2,350.67	$2,350.67	$2,350.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.55 / $3,602.13 / $4,637.39	Professional		$2,095.55	$3,602.13	$4,637.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,489.22 / $11,716.00 / $14,978.00	Facility		$6,489.22	$11,716.00	$14,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.88 / $1,388.72 / $3,052.10	Professional		$757.88	$1,388.72	$3,052.10