Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.36 / $1,705.95 / $14,482.00	Facility		$824.36	$1,705.95	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.00 / $848.38 / $3,651.63	Professional		$782.00	$848.38	$3,651.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.71 / $1,867.28 / $4,883.37	Professional		$741.71	$1,867.28	$4,883.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,204.14 / $2,575.71 / $3,951.21	Facility		$2,204.14	$2,575.71	$3,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.84 / $3,494.71 / $4,186.81	Professional		$1,288.84	$3,494.71	$4,186.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $824.36 / $1,060.50 / $1,895.50	Facility		$824.36	$1,060.50	$1,895.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $824.36 / $1,517.17 / $11,598.00	Facility		$824.36	$1,517.17	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $866.26 / $1,651.58 / $6,185.76	Professional		$866.26	$1,651.58	$6,185.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $485.41 / $1,563.49	Professional		$94.25	$485.41	$1,563.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $824.36 / $1,060.50 / $1,895.50	Facility		$824.36	$1,060.50	$1,895.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,641.25 / $1,999.80 / $2,985.31	Professional		$1,641.25	$1,999.80	$2,985.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,143.35 / $9,143.35 / $25,239.65	Facility		$9,143.35	$9,143.35	$25,239.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,563.71 / $3,819.70 / $6,185.76	Professional		$1,563.71	$3,819.70	$6,185.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,746.22 / $2,746.22 / $2,746.22	Professional		$2,746.22	$2,746.22	$2,746.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,435.31 / $4,162.88 / $5,319.03	Professional		$1,435.31	$4,162.88	$5,319.03
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 $825.01 / $1,489.52 / $3,475.93	Professional		$825.01	$1,489.52	$3,475.93