Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.08 / $1,478.81 / $14,482.00	Facility		$700.08	$1,478.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.60 / $731.00 / $3,272.20	Professional		$670.60	$731.00	$3,272.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.70 / $1,522.88 / $4,291.64	Professional		$685.70	$1,522.88	$4,291.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,869.82 / $2,185.04 / $3,351.90	Facility		$1,869.82	$2,185.04	$3,351.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.19 / $2,864.17 / $3,254.74	Professional		$1,150.19	$2,864.17	$3,254.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $700.08 / $977.88 / $1,643.13	Facility		$700.08	$977.88	$1,643.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $700.08 / $1,444.05 / $13,250.00	Facility		$700.08	$1,444.05	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $813.48 / $1,540.26 / $5,987.91	Professional		$813.48	$1,540.26	$5,987.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $421.51 / $1,392.12	Professional		$66.47	$421.51	$1,392.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $700.08 / $977.88 / $1,643.13	Facility		$700.08	$977.88	$1,643.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,435.85 / $1,749.53 / $2,611.69	Professional		$1,435.85	$1,749.53	$2,611.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,340.02 / $3,422.80 / $5,987.91	Professional		$1,340.02	$3,422.80	$5,987.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,309.42 / $2,309.42 / $2,309.42	Professional		$2,309.42	$2,309.42	$2,309.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,077.00 / $3,543.70 / $4,558.20	Professional		$2,077.00	$3,543.70	$4,558.20
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 $769.08 / $1,412.85 / $3,114.75	Professional		$769.08	$1,412.85	$3,114.75