Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.50 / $1,853.01 / $14,482.00	Facility		$878.50	$1,853.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $842.67 / $916.22 / $4,119.83	Professional		$842.67	$916.22	$4,119.83
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 $862.76 / $2,027.31 / $5,165.06	Professional		$862.76	$2,027.31	$5,165.06
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 $2,342.01 / $2,736.83 / $4,198.35	Facility		$2,342.01	$2,736.83	$4,198.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,363.76 / $3,590.38 / $4,079.98	Professional		$1,363.76	$3,590.38	$4,079.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $878.50 / $1,169.32 / $1,941.49	Facility		$878.50	$1,169.32	$1,941.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $878.50 / $1,770.65 / $13,120.00	Facility		$878.50	$1,770.65	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,015.16 / $1,905.86 / $6,712.56	Professional		$1,015.16	$1,905.86	$6,712.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $556.26 / $1,751.19	Professional		$66.47	$556.26	$1,751.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $878.50 / $1,149.41 / $1,941.49	Facility		$878.50	$1,149.41	$1,941.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,802.45 / $2,196.21 / $3,278.52	Professional		$1,802.45	$2,196.21	$3,278.52
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 $1,679.78 / $4,309.45 / $6,712.56	Professional		$1,679.78	$4,309.45	$6,712.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,904.64 / $2,904.64 / $2,904.64	Professional		$2,904.64	$2,904.64	$2,904.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,612.50 / $4,458.09 / $5,713.86	Professional		$2,612.50	$4,458.09	$5,713.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $948.08 / $1,736.92 / $3,921.60	Professional		$948.08	$1,736.92	$3,921.60