Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.15 / $1,397.00 / $14,482.00	Facility		$676.15	$1,397.00	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.66 / $687.09 / $3,252.20	Professional		$638.66	$687.09	$3,252.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.94 / $1,524.61 / $4,004.35	Professional		$599.94	$1,524.61	$4,004.35
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 $1,815.76 / $2,121.86 / $3,254.98	Facility		$1,815.76	$2,121.86	$3,254.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,059.17 / $2,871.93 / $3,436.63	Professional		$1,059.17	$2,871.93	$3,436.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.15 / $839.92 / $1,433.44	Facility		$676.15	$839.92	$1,433.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.15 / $1,214.49 / $5,639.00	Facility		$676.15	$1,214.49	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $703.85 / $1,350.56 / $5,057.35	Professional		$703.85	$1,350.56	$5,057.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $384.43 / $1,257.95	Professional		$66.47	$384.43	$1,257.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $676.15 / $823.27 / $1,433.44	Facility		$676.15	$823.27	$1,433.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,329.90 / $1,620.43 / $2,418.98	Professional		$1,329.90	$1,620.43	$2,418.98
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 $1,283.51 / $3,115.90 / $5,057.35	Professional		$1,283.51	$3,115.90	$5,057.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,251.90 / $2,251.90 / $2,251.90	Professional		$2,251.90	$2,251.90	$2,251.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,811.06 / $3,398.85 / $4,365.93	Professional		$1,811.06	$3,398.85	$4,365.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.63 / $1,307.61 / $2,741.99	Professional		$671.63	$1,307.61	$2,741.99