Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.78 / $1,518.30 / $14,482.00	Facility		$718.78	$1,518.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.75 / $737.07 / $2,956.13	Professional		$666.75	$737.07	$2,956.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $15,141.00 / $22,609.00	Facility		$9,287.00	$15,141.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.44 / $1,658.72 / $4,410.32	Professional		$705.44	$1,658.72	$4,410.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14,551.22 / $14,551.22 / $14,551.22	Facility		$14,551.22	$14,551.22	$14,551.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,919.39 / $2,242.94 / $3,440.75	Facility		$1,919.39	$2,242.94	$3,440.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.54 / $2,940.43 / $3,341.40	Professional		$1,181.54	$2,940.43	$3,341.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $718.78 / $987.62 / $1,588.50	Facility		$718.78	$987.62	$1,588.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $718.78 / $1,450.82 / $13,250.00	Facility		$718.78	$1,450.82	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $836.70 / $1,583.64 / $6,188.07	Professional		$836.70	$1,583.64	$6,188.07
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 $718.78 / $937.70 / $1,588.50	Facility		$718.78	$937.70	$1,588.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,476.15 / $1,798.63 / $2,685.00	Professional		$1,476.15	$1,798.63	$2,685.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17,275.12 / $17,275.12 / $47,686.95	Facility		$17,275.12	$17,275.12	$47,686.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,375.70 / $3,519.20 / $6,188.07	Professional		$1,375.70	$3,519.20	$6,188.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,373.31 / $2,373.31 / $2,373.31	Professional		$2,373.31	$2,373.31	$2,373.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,136.81 / $3,641.66 / $4,679.50	Professional		$2,136.81	$3,641.66	$4,679.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $16,437.00	Facility		$5,266.00	$11,608.00	$16,437.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.47 / $1,541.41 / $3,377.24	Professional		$798.47	$1,541.41	$3,377.24