Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $856.97 / $1,773.85 / $14,482.00	Facility		$856.97	$1,773.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $813.66 / $884.41 / $3,835.52	Professional		$813.66	$884.41	$3,835.52
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 $777.23 / $1,969.34 / $5,069.43	Professional		$777.23	$1,969.34	$5,069.43
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 $2,288.84 / $2,674.70 / $4,103.05	Facility		$2,288.84	$2,674.70	$4,103.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.48 / $3,629.29 / $4,351.95	Professional		$1,338.48	$3,629.29	$4,351.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $856.97 / $1,062.22 / $1,816.78	Facility		$856.97	$1,062.22	$1,816.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $856.97 / $1,600.16 / $11,100.00	Facility		$856.97	$1,600.16	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $914.38 / $1,694.47 / $6,434.48	Professional		$914.38	$1,694.47	$6,434.48
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 $856.97 / $1,009.13 / $1,816.78	Facility		$856.97	$1,009.13	$1,816.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,708.85 / $2,082.17 / $3,108.27	Professional		$1,708.85	$2,082.17	$3,108.27
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 $1,625.38 / $4,012.05 / $6,434.48	Professional		$1,625.38	$4,012.05	$6,434.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,854.38 / $2,854.38 / $2,854.38	Professional		$2,854.38	$2,854.38	$2,854.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.69 / $4,329.26 / $5,528.86	Professional		$2,238.69	$4,329.26	$5,528.86
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 $897.52 / $1,752.26 / $3,650.97	Professional		$897.52	$1,752.26	$3,650.97