Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.09 / $1,967.04 / $14,482.00	Facility		$954.09	$1,967.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.17 / $982.34 / $4,323.84	Professional		$905.17	$982.34	$4,323.84
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 $882.21 / $2,201.73 / $5,937.01	Professional		$882.21	$2,201.73	$5,937.01
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 $2,545.66 / $2,974.81 / $4,563.43	Facility		$2,545.66	$2,974.81	$4,563.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,912.96 / $4,257.18 / $4,837.71	Professional		$1,912.96	$4,257.18	$4,837.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $954.09 / $1,303.09 / $2,022.67	Facility		$954.09	$1,303.09	$2,022.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.09 / $1,812.33 / $11,100.00	Facility		$954.09	$1,812.33	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $980.55 / $1,818.19 / $7,149.12	Professional		$980.55	$1,818.19	$7,149.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $564.70 / $1,829.35	Professional		$94.25	$564.70	$1,829.35
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $954.09 / $1,240.31 / $2,022.67	Facility		$954.09	$1,240.31	$2,022.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,892.80 / $2,306.30 / $3,442.86	Professional		$1,892.80	$2,306.30	$3,442.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8,957.00 / $8,957.00 / $8,957.00	Facility		$8,957.00	$8,957.00	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4,065.30 / $4,522.85 / $7,149.12	Professional		$4,065.30	$4,522.85	$7,149.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,184.47 / $3,184.47 / $3,184.47	Professional		$3,184.47	$3,184.47	$3,184.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,671.07 / $4,862.29 / $6,145.90	Professional		$2,671.07	$4,862.29	$6,145.90
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 $980.55 / $1,947.32 / $4,119.02	Professional		$980.55	$1,947.32	$4,119.02