Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.53 / $2,019.51 / $14,482.00	Facility		$958.53	$2,019.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.26 / $998.33 / $4,483.26	Professional		$916.26	$998.33	$4,483.26
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 $937.95 / $2,180.87 / $6,223.61	Professional		$937.95	$2,180.87	$6,223.61
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 $2,564.59 / $2,996.92 / $4,597.35	Facility		$2,564.59	$2,996.92	$4,597.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,514.30 / $4,106.03 / $4,908.76	Professional		$1,514.30	$4,106.03	$4,908.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $958.53 / $1,395.76 / $2,090.88	Facility		$958.53	$1,395.76	$2,090.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $958.53 / $1,929.75 / $11,598.00	Facility		$958.53	$1,929.75	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,038.27 / $2,032.66 / $7,302.88	Professional		$1,038.27	$2,032.66	$7,302.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $606.03 / $1,933.02	Professional		$66.47	$606.03	$1,933.02
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $958.53 / $1,346.34 / $2,090.88	Facility		$958.53	$1,346.34	$2,090.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,957.15 / $2,384.71 / $3,559.91	Professional		$1,957.15	$2,384.71	$3,559.91
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 $1,833.35 / $4,689.60 / $7,302.88	Professional		$1,833.35	$4,689.60	$7,302.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,170.03 / $3,170.03 / $3,170.03	Professional		$3,170.03	$3,170.03	$3,170.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,848.58 / $4,875.05 / $6,236.23	Professional		$2,848.58	$4,875.05	$6,236.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,660.81 / $9,158.00 / $12,062.00	Facility		$5,660.81	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.27 / $1,887.76 / $4,206.75	Professional		$1,038.27	$1,887.76	$4,206.75