Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $967.52 / $2,004.10 / $14,482.00	Facility		$967.52	$2,004.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.19 / $998.82 / $4,369.92	Professional		$871.19	$998.82	$4,369.92
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 $890.74 / $2,224.17 / $6,011.01	Professional		$890.74	$2,224.17	$6,011.01
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 $2,579.01 / $3,013.77 / $4,623.20	Facility		$2,579.01	$3,013.77	$4,623.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,420.32 / $4,091.72 / $4,915.93	Professional		$1,420.32	$4,091.72	$4,915.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $967.52 / $1,249.59 / $2,226.78	Facility		$967.52	$1,249.59	$2,226.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $967.52 / $1,913.94 / $11,100.00	Facility		$967.52	$1,913.94	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,005.63 / $1,883.84 / $7,284.40	Professional		$1,005.63	$1,883.84	$7,284.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $565.82 / $1,832.28	Professional		$94.25	$565.82	$1,832.28
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $967.52 / $1,249.59 / $2,226.78	Facility		$967.52	$1,249.59	$2,226.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,934.40 / $2,356.98 / $3,518.52	Professional		$1,934.40	$2,356.98	$3,518.52
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 $1,836.02 / $4,571.05 / $7,284.40	Professional		$1,836.02	$4,571.05	$7,284.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,224.16 / $3,224.16 / $3,224.16	Professional		$3,224.16	$3,224.16	$3,224.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,316.39 / $4,899.25 / $6,245.36	Professional		$2,316.39	$4,899.25	$6,245.36
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,002.84 / $1,984.60 / $4,386.64	Professional		$1,002.84	$1,984.60	$4,386.64