Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.21 / $1,510.67 / $14,482.00	Facility		$715.21	$1,510.67	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.47 / $747.01 / $3,348.53	Professional		$685.47	$747.01	$3,348.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.15 / $1,650.49 / $4,387.47	Professional		$701.15	$1,650.49	$4,387.47
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 $1,909.47 / $2,231.37 / $3,422.98	Facility		$1,909.47	$2,231.37	$3,422.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.42 / $2,925.52 / $3,324.45	Professional		$1,079.42	$2,925.52	$3,324.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $715.21 / $1,018.64 / $1,565.27	Facility		$715.21	$1,018.64	$1,565.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $715.21 / $1,443.53 / $8,384.00	Facility		$715.21	$1,443.53	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $799.03 / $1,414.77 / $5,464.88	Professional		$799.03	$1,414.77	$5,464.88
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 $715.21 / $1,018.64 / $1,565.27	Facility		$715.21	$1,018.64	$1,565.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,468.35 / $1,789.13 / $2,670.82	Professional		$1,468.35	$1,789.13	$2,670.82
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 $1,368.72 / $3,502.65 / $5,464.88	Professional		$1,368.72	$3,502.65	$5,464.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,361.00 / $2,361.00 / $2,361.00	Professional		$2,361.00	$2,361.00	$2,361.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.21 / $3,623.24 / $4,655.78	Professional		$1,563.21	$3,623.24	$4,655.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $793.75 / $1,403.96 / $3,134.00	Professional		$793.75	$1,403.96	$3,134.00