Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.37 / $1,880.37 / $14,482.00	Facility		$910.37	$1,880.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.09 / $938.51 / $4,101.77	Professional		$864.09	$938.51	$4,101.77
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 $836.03 / $1,820.74 / $5,625.41	Professional		$836.03	$1,820.74	$5,625.41
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 $2,430.32 / $2,840.02 / $4,356.67	Facility		$2,430.32	$2,840.02	$4,356.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.33 / $3,849.76 / $4,620.30	Professional		$1,356.33	$3,849.76	$4,620.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $883.94 / $1,135.83 / $1,929.98	Facility		$883.94	$1,135.83	$1,929.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $910.37 / $1,703.05 / $11,100.00	Facility		$910.37	$1,703.05	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $922.58 / $1,847.78 / $6,830.72	Professional		$922.58	$1,847.78	$6,830.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $539.41 / $1,760.03	Professional		$94.25	$539.41	$1,760.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $883.94 / $1,085.83 / $1,929.98	Facility		$883.94	$1,085.83	$1,929.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,810.25 / $2,205.71 / $3,292.71	Professional		$1,810.25	$2,205.71	$3,292.71
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 $1,673.84 / $4,290.55 / $6,830.72	Professional		$1,673.84	$4,290.55	$6,830.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,036.37 / $3,036.37 / $3,036.37	Professional		$3,036.37	$3,036.37	$3,036.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,484.21 / $4,621.05 / $5,869.75	Professional		$2,484.21	$4,621.05	$5,869.75
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 $928.66 / $1,860.78 / $3,796.86	Professional		$928.66	$1,860.78	$3,796.86