Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.53 / $1,771.20 / $14,482.00	Facility		$837.53	$1,771.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.57 / $875.46 / $3,908.51	Professional		$801.57	$875.46	$3,908.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.32 / $1,932.75 / $5,152.47	Professional		$819.32	$1,932.75	$5,152.47
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 $2,241.09 / $2,618.89 / $4,017.44	Facility		$2,241.09	$2,618.89	$4,017.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,267.56 / $3,597.79 / $4,295.46	Professional		$1,267.56	$3,597.79	$4,295.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $837.53 / $1,147.05 / $1,968.00	Facility		$837.53	$1,147.05	$1,968.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $837.53 / $1,723.26 / $5,639.00	Facility		$837.53	$1,723.26	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $893.90 / $1,677.00 / $6,793.00	Professional		$893.90	$1,677.00	$6,793.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $509.23 / $1,640.46	Professional		$66.47	$509.23	$1,640.46
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $837.53 / $1,147.05 / $1,968.00	Facility		$837.53	$1,147.05	$1,968.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,717.95 / $2,093.26 / $3,124.82	Professional		$1,717.95	$2,093.26	$3,124.82
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 $1,604.29 / $4,088.40 / $6,793.00	Professional		$1,604.29	$4,088.40	$6,793.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,763.64 / $2,763.64 / $2,763.64	Professional		$2,763.64	$2,763.64	$2,763.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,273.76 / $4,322.64 / $5,457.07	Professional		$2,273.76	$4,322.64	$5,457.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.22 / $1,639.84 / $3,720.44	Professional		$893.22	$1,639.84	$3,720.44