Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.35 / $1,702.17 / $14,482.00	Facility		$806.35	$1,702.17	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.80 / $841.43 / $3,769.17	Professional		$772.80	$841.43	$3,769.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $785.59 / $1,860.82 / $4,948.43	Professional		$785.59	$1,860.82	$4,948.43
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 $2,151.87 / $2,514.64 / $3,857.52	Facility		$2,151.87	$2,514.64	$3,857.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.10 / $3,296.36 / $3,745.86	Professional		$1,216.10	$3,296.36	$3,745.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $806.35 / $1,177.83 / $1,762.39	Facility		$806.35	$1,177.83	$1,762.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $806.35 / $1,651.46 / $13,250.00	Facility		$806.35	$1,651.46	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $899.14 / $1,669.00 / $7,132.77	Professional		$899.14	$1,669.00	$7,132.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $490.81 / $1,572.25	Professional		$66.47	$490.81	$1,572.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $806.35 / $1,166.70 / $1,762.39	Facility		$806.35	$1,166.70	$1,762.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,653.60 / $2,014.85 / $3,007.77	Professional		$1,653.60	$2,014.85	$3,007.77
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 $1,542.21 / $3,942.65 / $7,132.77	Professional		$1,542.21	$3,942.65	$7,132.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,662.85 / $2,662.85 / $2,662.85	Professional		$2,662.85	$2,662.85	$2,662.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,369.06 / $4,084.40 / $5,245.92	Professional		$2,369.06	$4,084.40	$5,245.92
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.38 / $1,587.60 / $3,587.81	Professional		$867.38	$1,587.60	$3,587.81