Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.16 / $1,781.30 / $14,482.00	Facility		$844.16	$1,781.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.38 / $880.40 / $3,952.15	Professional		$809.38	$880.40	$3,952.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.13 / $1,849.56 / $4,960.42	Professional		$826.13	$1,849.56	$4,960.42
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 $2,251.00 / $2,630.47 / $4,035.21	Facility		$2,251.00	$2,630.47	$4,035.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.09 / $3,450.59 / $3,921.13	Professional		$1,272.09	$3,450.59	$3,921.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $844.16 / $1,246.97 / $1,856.01	Facility		$844.16	$1,246.97	$1,856.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $844.16 / $1,739.24 / $13,120.00	Facility		$844.16	$1,739.24	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $930.97 / $1,702.21 / $7,132.77	Professional		$930.97	$1,702.21	$7,132.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $532.70 / $1,653.08	Professional		$65.66	$532.70	$1,653.08
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $844.16 / $1,222.28 / $1,856.01	Facility		$844.16	$1,222.28	$1,856.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,730.95 / $2,109.10 / $3,148.46	Professional		$1,730.95	$2,109.10	$3,148.46
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 $1,614.39 / $4,134.05 / $7,132.77	Professional		$1,614.39	$4,134.05	$7,132.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,789.54 / $2,789.54 / $2,789.54	Professional		$2,789.54	$2,789.54	$2,789.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,505.78 / $4,280.54 / $5,491.44	Professional		$2,505.78	$4,280.54	$5,491.44
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 $930.97 / $1,758.92 / $3,761.99	Professional		$930.97	$1,758.92	$3,761.99