Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $843.48 / $1,738.76 / $14,482.00	Facility		$843.48	$1,738.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.66 / $866.52 / $3,785.09	Professional		$799.66	$866.52	$3,785.09
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 $768.54 / $1,823.06 / $5,246.65	Professional		$768.54	$1,823.06	$5,246.65
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 $2,252.80 / $2,632.58 / $4,038.44	Facility		$2,252.80	$2,632.58	$4,038.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,218.61 / $3,563.43 / $4,276.29	Professional		$1,218.61	$3,563.43	$4,276.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $815.61 / $1,048.14 / $1,788.18	Facility		$815.61	$1,048.14	$1,788.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $824.25 / $1,468.26 / $11,100.00	Facility		$824.25	$1,468.26	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $819.10 / $1,625.59 / $6,315.12	Professional		$819.10	$1,625.59	$6,315.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $500.46 / $1,622.82	Professional		$94.25	$500.46	$1,622.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $815.61 / $995.89 / $1,788.18	Facility		$815.61	$995.89	$1,788.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,671.80 / $2,037.02 / $3,040.88	Professional		$1,671.80	$2,037.02	$3,040.88
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 $1,597.12 / $3,959.30 / $6,315.12	Professional		$1,597.12	$3,959.30	$6,315.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,814.17 / $2,814.17 / $2,814.17	Professional		$2,814.17	$2,814.17	$2,814.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.83 / $4,281.53 / $5,432.66	Professional		$1,335.83	$4,281.53	$5,432.66
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 $805.26 / $1,536.21 / $3,535.81	Professional		$805.26	$1,536.21	$3,535.81