Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.23 / $1,405.10 / $14,482.00	Facility		$665.23	$1,405.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.36 / $694.77 / $3,107.62	Professional		$637.36	$694.77	$3,107.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.72 / $1,535.16 / $3,905.14	Professional		$650.72	$1,535.16	$3,905.14
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 $1,776.11 / $2,075.52 / $3,183.90	Facility		$1,776.11	$2,075.52	$3,183.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.76 / $2,719.98 / $3,090.89	Professional		$1,004.76	$2,719.98	$3,090.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $665.23 / $913.91 / $1,433.51	Facility		$665.23	$913.91	$1,433.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $665.23 / $1,369.28 / $11,100.00	Facility		$665.23	$1,369.28	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $724.70 / $1,311.14 / $5,078.39	Professional		$724.70	$1,311.14	$5,078.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $401.29 / $1,321.93	Professional		$66.47	$401.29	$1,321.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $665.23 / $911.01 / $1,433.51	Facility		$665.23	$911.01	$1,433.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,365.00 / $1,663.20 / $2,482.83	Professional		$1,365.00	$1,663.20	$2,482.83
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 $1,272.57 / $3,250.65 / $5,078.39	Professional		$1,272.57	$3,250.65	$5,078.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,196.09 / $2,196.09 / $2,196.09	Professional		$2,196.09	$2,196.09	$2,196.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,957.59 / $3,366.56 / $4,328.72	Professional		$1,957.59	$3,366.56	$4,328.72
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 $705.49 / $1,311.14 / $2,958.09	Professional		$705.49	$1,311.14	$2,958.09