Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.38 / $1,431.97 / $14,482.00	Facility		$677.38	$1,431.97	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.63 / $714.93 / $3,162.64	Professional		$648.63	$714.93	$3,162.64
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 $662.81 / $1,563.17 / $4,103.62	Professional		$662.81	$1,563.17	$4,103.62
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 $1,810.35 / $2,115.54 / $3,245.29	Facility		$1,810.35	$2,115.54	$3,245.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.93 / $2,771.15 / $3,149.04	Professional		$1,023.93	$2,771.15	$3,149.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $677.38 / $954.65 / $1,497.01	Facility		$677.38	$954.65	$1,497.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $677.38 / $1,395.36 / $8,296.28	Facility		$677.38	$1,395.36	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.68 / $1,335.21 / $5,704.57	Professional		$720.68	$1,335.21	$5,704.57
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 $677.38 / $948.33 / $1,497.01	Facility		$677.38	$948.33	$1,497.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,390.35 / $1,694.09 / $2,528.94	Professional		$1,390.35	$1,694.09	$2,528.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,215.95 / $4,215.95 / $11,637.85	Facility		$4,215.95	$4,215.95	$11,637.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,296.51 / $3,308.20 / $5,704.57	Professional		$1,296.51	$3,308.20	$5,704.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,234.82 / $2,234.82 / $2,234.82	Professional		$2,234.82	$2,234.82	$2,234.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,875.82 / $3,426.31 / $4,410.13	Professional		$1,875.82	$3,426.31	$4,410.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.24 / $1,335.21 / $3,010.46	Professional		$723.24	$1,335.21	$3,010.46