Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.10 / $1,548.83 / $14,482.00	Facility		$750.10	$1,548.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $710.53 / $769.20 / $2,925.57	Professional		$710.53	$769.20	$2,925.57
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 $670.62 / $1,524.38 / $4,631.53	Professional		$670.62	$1,524.38	$4,631.53
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 $2,008.60 / $2,347.19 / $3,600.67	Facility		$2,008.60	$2,347.19	$3,600.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,151.98 / $3,176.88 / $3,809.98	Professional		$1,151.98	$3,176.88	$3,809.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $725.30 / $881.11 / $1,590.21	Facility		$725.30	$881.11	$1,590.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.10 / $1,376.55 / $11,100.00	Facility		$750.10	$1,376.55	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $779.64 / $1,503.11 / $5,622.08	Professional		$779.64	$1,503.11	$5,622.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $446.74 / $1,433.82	Professional		$66.47	$446.74	$1,433.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $725.30 / $880.00 / $1,590.21	Facility		$725.30	$880.00	$1,590.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,487.85 / $1,812.89 / $2,706.28	Professional		$1,487.85	$1,812.89	$2,706.28
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 $1,422.96 / $3,476.50 / $5,622.08	Professional		$1,422.96	$3,476.50	$5,622.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,501.89 / $2,501.89 / $2,501.89	Professional		$2,501.89	$2,501.89	$2,501.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.88 / $3,784.15 / $4,840.30	Professional		$1,136.88	$3,784.15	$4,840.30
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 $752.83 / $1,348.88 / $3,163.62	Professional		$752.83	$1,348.88	$3,163.62