Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.47 / $1,852.54 / $14,482.00	Facility		$895.47	$1,852.54	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.89 / $925.73 / $3,985.09	Professional		$850.89	$925.73	$3,985.09
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 $814.25 / $2,040.35 / $5,553.35	Professional		$814.25	$2,040.35	$5,553.35
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 $2,389.77 / $2,792.64 / $4,283.97	Facility		$2,389.77	$2,792.64	$4,283.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.85 / $3,788.20 / $4,547.58	Professional		$1,369.85	$3,788.20	$4,547.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $895.47 / $1,293.81 / $1,898.40	Facility		$895.47	$1,293.81	$1,898.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $895.47 / $1,668.91 / $11,100.00	Facility		$895.47	$1,668.91	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $945.07 / $1,730.19 / $6,729.92	Professional		$945.07	$1,730.19	$6,729.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $539.41 / $1,759.52	Professional		$94.25	$539.41	$1,759.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $895.47 / $1,293.81 / $1,898.40	Facility		$895.47	$1,293.81	$1,898.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,784.90 / $2,174.83 / $3,246.60	Professional		$1,784.90	$2,174.83	$3,246.60
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 $1,698.45 / $4,168.50 / $6,729.92	Professional		$1,698.45	$4,168.50	$6,729.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,981.90 / $2,981.90 / $2,981.90	Professional		$2,981.90	$2,981.90	$2,981.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,472.75 / $4,526.13 / $5,777.35	Professional		$2,472.75	$4,526.13	$5,777.35
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 $928.43 / $1,624.04 / $3,793.34	Professional		$928.43	$1,624.04	$3,793.34