Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.99 / $1,633.16 / $14,482.00	Facility		$791.99	$1,633.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.40 / $809.83 / $3,530.08	Professional		$749.40	$809.83	$3,530.08
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 $714.56 / $1,772.60 / $4,919.39	Professional		$714.56	$1,772.60	$4,919.39
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 $2,120.34 / $2,477.78 / $3,800.98	Facility		$2,120.34	$2,477.78	$3,800.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,237.09 / $3,354.41 / $4,017.70	Professional		$1,237.09	$3,354.41	$4,017.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $791.99 / $1,051.90 / $1,679.02	Facility		$791.99	$1,051.90	$1,679.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $791.99 / $1,459.77 / $11,100.00	Facility		$791.99	$1,459.77	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $833.00 / $1,600.50 / $5,922.40	Professional		$833.00	$1,600.50	$5,922.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $465.20 / $1,495.56	Professional		$94.25	$465.20	$1,495.56
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $791.99 / $1,000.38 / $1,679.02	Facility		$791.99	$1,000.38	$1,679.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,567.15 / $1,909.51 / $2,850.53	Professional		$1,567.15	$1,909.51	$2,850.53
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 $1,500.53 / $3,692.55 / $5,922.40	Professional		$1,500.53	$3,692.55	$5,922.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,640.76 / $2,640.76 / $2,640.76	Professional		$2,640.76	$2,640.76	$2,640.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,135.66 / $4,011.68 / $5,104.14	Professional		$2,135.66	$4,011.68	$5,104.14
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 $798.66 / $1,612.44 / $3,360.22	Professional		$798.66	$1,612.44	$3,360.22