Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.04 / $1,784.14 / $14,482.00	Facility		$862.04	$1,784.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.57 / $890.00 / $3,858.13	Professional		$818.57	$890.00	$3,858.13
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 $782.85 / $1,951.74 / $5,350.55	Professional		$782.85	$1,951.74	$5,350.55
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 $2,301.46 / $2,689.44 / $4,125.67	Facility		$2,301.46	$2,689.44	$4,125.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.48 / $3,650.76 / $4,376.00	Professional		$1,321.48	$3,650.76	$4,376.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $792.95 / $1,015.31 / $1,905.11	Facility		$792.95	$1,015.31	$1,905.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $834.35 / $1,704.84 / $8,296.28	Facility		$834.35	$1,704.84	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $912.07 / $1,679.36 / $6,470.80	Professional		$912.07	$1,679.36	$6,470.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $500.46 / $1,622.82	Professional		$94.25	$500.46	$1,622.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $792.95 / $1,015.31 / $1,905.11	Facility		$792.95	$1,015.31	$1,905.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,718.60 / $2,094.05 / $3,126.00	Professional		$1,718.60	$2,094.05	$3,126.00
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 $1,634.36 / $4,035.70 / $6,470.80	Professional		$1,634.36	$4,035.70	$6,470.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,869.89 / $2,869.89 / $2,869.89	Professional		$2,869.89	$2,869.89	$2,869.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,364.41 / $4,355.45 / $5,559.36	Professional		$2,364.41	$4,355.45	$5,559.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.24 / $1,566.90 / $3,748.70	Professional		$885.24	$1,566.90	$3,748.70