Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.22 / $1,898.01 / $14,482.00	Facility		$916.22	$1,898.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.23 / $946.36 / $4,752.26	Professional		$870.23	$946.36	$4,752.26
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 $834.08 / $2,106.33 / $5,689.41	Professional		$834.08	$2,106.33	$5,689.41
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 $2,448.34 / $2,861.08 / $4,388.97	Facility		$2,448.34	$2,861.08	$4,388.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,391.29 / $3,884.12 / $4,656.13	Professional		$1,391.29	$3,884.12	$4,656.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $916.22 / $1,282.71 / $1,942.39	Facility		$916.22	$1,282.71	$1,942.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.22 / $1,725.74 / $11,100.00	Facility		$916.22	$1,725.74	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $967.78 / $1,760.40 / $6,887.12	Professional		$967.78	$1,760.40	$6,887.12
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 $916.22 / $1,265.33 / $1,942.39	Facility		$916.22	$1,265.33	$1,942.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,828.45 / $2,227.90 / $3,325.81	Professional		$1,828.45	$2,227.90	$3,325.81
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 $1,738.98 / $4,294.89 / $6,887.12	Professional		$1,738.98	$4,294.89	$6,887.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,051.64 / $3,051.64 / $3,051.64	Professional		$3,051.64	$3,051.64	$3,051.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,526.33 / $4,627.39 / $5,915.25	Professional		$2,526.33	$4,627.39	$5,915.25
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $964.56 / $1,745.66 / $3,908.36	Professional		$964.56	$1,745.66	$3,908.36