Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.46 / $1,795.14 / $14,482.00	Facility		$867.46	$1,795.14	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.83 / $895.90 / $3,885.28	Professional		$823.83	$895.90	$3,885.28
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 $788.31 / $1,976.74 / $5,138.09	Professional		$788.31	$1,976.74	$5,138.09
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 $2,316.78 / $2,707.34 / $4,153.13	Facility		$2,316.78	$2,707.34	$4,153.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.55 / $3,673.67 / $4,405.24	Professional		$1,344.55	$3,673.67	$4,405.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $867.46 / $1,177.50 / $1,839.02	Facility		$867.46	$1,177.50	$1,839.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $867.46 / $1,627.20 / $11,598.00	Facility		$867.46	$1,627.20	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $915.62 / $1,699.71 / $6,514.80	Professional		$915.62	$1,699.71	$6,514.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $500.46 / $1,631.41	Professional		$94.25	$500.46	$1,631.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $867.46 / $1,176.00 / $1,839.02	Facility		$867.46	$1,176.00	$1,839.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,729.00 / $2,106.71 / $3,144.92	Professional		$1,729.00	$2,106.71	$3,144.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,645.29 / $4,064.10 / $6,514.80	Professional		$1,645.29	$4,064.10	$6,514.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,889.48 / $2,889.48 / $2,889.48	Professional		$2,889.48	$2,889.48	$2,889.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,378.92 / $4,382.96 / $5,596.57	Professional		$2,378.92	$4,382.96	$5,596.57
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 $914.31 / $1,576.52 / $3,698.33	Professional		$914.31	$1,576.52	$3,698.33