Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.32 / $1,632.49 / $14,482.00	Facility		$790.32	$1,632.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.40 / $812.13 / $3,517.89	Professional		$749.40	$812.13	$3,517.89
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 $712.07 / $1,773.96 / $4,685.93	Professional		$712.07	$1,773.96	$4,685.93
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 $2,113.13 / $2,469.36 / $3,788.05	Facility		$2,113.13	$2,469.36	$3,788.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,154.96 / $3,203.67 / $3,640.54	Professional		$1,154.96	$3,203.67	$3,640.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $790.32 / $996.90 / $1,675.48	Facility		$790.32	$996.90	$1,675.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $790.32 / $1,468.63 / $8,296.28	Facility		$790.32	$1,468.63	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $808.57 / $1,537.24 / $5,927.92	Professional		$808.57	$1,537.24	$5,927.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $463.75 / $1,474.97	Professional		$66.47	$463.75	$1,474.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $790.32 / $974.38 / $1,675.48	Facility		$790.32	$974.38	$1,675.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,569.75 / $1,912.68 / $2,855.25	Professional		$1,569.75	$1,912.68	$2,855.25
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 $1,480.16 / $3,679.80 / $5,927.92	Professional		$1,480.16	$3,679.80	$5,927.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,635.20 / $2,635.20 / $2,635.20	Professional		$2,635.20	$2,635.20	$2,635.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.52 / $3,991.58 / $5,098.47	Professional		$2,095.52	$3,991.58	$5,098.47
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 $798.30 / $1,471.92 / $3,286.21	Professional		$798.30	$1,471.92	$3,286.21