Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $1,835.91 / $14,482.00	Facility		$871.37	$1,835.91	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.90 / $912.75 / $4,056.31	Professional		$831.90	$912.75	$4,056.31
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 $848.60 / $2,010.84 / $5,362.06	Professional		$848.60	$2,010.84	$5,362.06
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 $2,335.69 / $2,729.45 / $4,187.05	Facility		$2,335.69	$2,729.45	$4,187.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,378.61 / $3,738.09 / $4,463.66	Professional		$1,378.61	$3,738.09	$4,463.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $1,267.23 / $1,870.88	Facility		$871.37	$1,267.23	$1,870.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $1,768.20 / $11,100.00	Facility		$871.37	$1,768.20	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $970.85 / $1,858.43 / $6,722.39	Professional		$970.85	$1,858.43	$6,722.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $532.86 / $1,702.26	Professional		$66.47	$532.86	$1,702.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $871.37 / $1,223.94 / $1,870.88	Facility		$871.37	$1,223.94	$1,870.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,776.45 / $2,164.54 / $3,231.23	Professional		$1,776.45	$2,164.54	$3,231.23
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 $1,667.09 / $4,243.00 / $6,722.39	Professional		$1,667.09	$4,243.00	$6,722.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,876.06 / $2,876.06 / $2,876.06	Professional		$2,876.06	$2,876.06	$2,876.06
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,564.53 / $4,421.39 / $5,670.71	Professional		$2,564.53	$4,421.39	$5,670.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $967.02 / $1,784.29 / $3,789.17	Professional		$967.02	$1,784.29	$3,789.17