Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.83 / $1,845.38 / $14,482.00	Facility		$874.83	$1,845.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.08 / $912.33 / $4,101.81	Professional		$839.08	$912.33	$4,101.81
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 $858.97 / $2,018.83 / $5,143.81	Professional		$858.97	$2,018.83	$5,143.81
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 $2,331.19 / $2,724.19 / $4,178.97	Facility		$2,331.19	$2,724.19	$4,178.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.49 / $3,575.46 / $4,063.03	Professional		$1,317.49	$3,575.46	$4,063.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $874.83 / $1,246.98 / $1,933.37	Facility		$874.83	$1,246.98	$1,933.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $874.83 / $1,816.66 / $13,120.00	Facility		$874.83	$1,816.66	$13,120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $961.92 / $1,730.22 / $6,684.16	Professional		$961.92	$1,730.22	$6,684.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $556.26 / $1,751.19	Professional		$66.47	$556.26	$1,751.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $874.83 / $1,246.98 / $1,933.37	Facility		$874.83	$1,246.98	$1,933.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,794.65 / $2,186.71 / $3,264.33	Professional		$1,794.65	$2,186.71	$3,264.33
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 $1,672.79 / $4,290.60 / $6,684.16	Professional		$1,672.79	$4,290.60	$6,684.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,892.67 / $2,892.67 / $2,892.67	Professional		$2,892.67	$2,892.67	$2,892.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,700.09 / $4,440.18 / $5,690.07	Professional		$2,700.09	$4,440.18	$5,690.07
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 $961.92 / $1,823.48 / $3,904.45	Professional		$961.92	$1,823.48	$3,904.45