Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.07 / $1,469.39 / $14,482.00	Facility		$716.07	$1,469.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.35 / $724.98 / $3,164.84	Professional		$676.35	$724.98	$3,164.84
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 $644.39 / $1,647.45 / $4,410.38	Professional		$644.39	$1,647.45	$4,410.38
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 $1,913.98 / $2,236.64 / $3,431.06	Facility		$1,913.98	$2,236.64	$3,431.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.08 / $3,020.83 / $3,623.35	Professional		$1,114.08	$3,020.83	$3,623.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $679.97 / $874.31 / $1,518.07	Facility		$679.97	$874.31	$1,518.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $679.97 / $1,303.61 / $11,100.00	Facility		$679.97	$1,303.61	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $750.59 / $1,450.00 / $5,332.96	Professional		$750.59	$1,450.00	$5,332.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $402.85 / $1,319.97	Professional		$66.47	$402.85	$1,319.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $679.97 / $837.80 / $1,518.07	Facility		$679.97	$837.80	$1,518.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,404.65 / $1,711.51 / $2,554.94	Professional		$1,404.65	$1,711.51	$2,554.94
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 $1,353.25 / $3,310.50 / $5,332.96	Professional		$1,353.25	$3,310.50	$5,332.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,387.19 / $2,387.19 / $2,387.19	Professional		$2,387.19	$2,387.19	$2,387.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,981.26 / $3,625.55 / $4,603.14	Professional		$1,981.26	$3,625.55	$4,603.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $750.50 / $1,450.00 / $3,012.56	Professional		$750.50	$1,450.00	$3,012.56