Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.80 / $1,978.56 / $14,482.00	Facility		$938.80	$1,978.56	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $901.12 / $978.05 / $4,413.57	Professional		$901.12	$978.05	$4,413.57
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 $922.23 / $1,919.41 / $5,769.83	Professional		$922.23	$1,919.41	$5,769.83
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 $2,498.81 / $2,920.05 / $4,479.43	Facility		$2,498.81	$2,920.05	$4,479.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.82 / $3,834.47 / $4,357.35	Professional		$1,411.82	$3,834.47	$4,357.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $938.80 / $1,319.04 / $2,119.50	Facility		$938.80	$1,319.04	$2,119.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $938.80 / $1,944.13 / $13,250.00	Facility		$938.80	$1,944.13	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,041.04 / $1,862.80 / $8,911.00	Professional		$1,041.04	$1,862.80	$8,911.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $588.03 / $1,857.67	Professional		$66.47	$588.03	$1,857.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $938.80 / $1,314.32 / $2,119.50	Facility		$938.80	$1,314.32	$2,119.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,925.30 / $2,345.90 / $3,501.97	Professional		$1,925.30	$2,345.90	$3,501.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,703.51 / $9,703.51 / $26,785.95	Facility		$9,703.51	$9,703.51	$26,785.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,793.98 / $4,616.70 / $8,911.00	Professional		$1,793.98	$4,616.70	$8,911.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,104.88 / $3,104.88 / $3,104.88	Professional		$3,104.88	$3,104.88	$3,104.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,801.06 / $4,769.47 / $6,102.33	Professional		$2,801.06	$4,769.47	$6,102.33
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.95 / $2,022.11 / $4,430.46	Professional		$1,020.95	$2,022.11	$4,430.46