Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.32 / $1,467.11 / $14,482.00	Facility		$694.32	$1,467.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $665.04 / $733.27 / $3,243.99	Professional		$665.04	$733.27	$3,243.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.53 / $1,602.28 / $4,269.70	Professional		$678.53	$1,602.28	$4,269.70
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 $1,855.41 / $2,168.19 / $3,326.06	Facility		$1,855.41	$2,168.19	$3,326.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.15 / $2,841.30 / $3,228.75	Professional		$1,049.15	$2,841.30	$3,228.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $694.32 / $993.16 / $1,534.45	Facility		$694.32	$993.16	$1,534.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $694.32 / $1,422.81 / $11,100.00	Facility		$694.32	$1,422.81	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.35 / $1,486.27 / $5,305.04	Professional		$776.35	$1,486.27	$5,305.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $426.97 / $1,392.12	Professional		$66.47	$426.97	$1,392.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $694.32 / $993.16 / $1,534.45	Facility		$694.32	$993.16	$1,534.45
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,424.80 / $1,736.06 / $2,591.60	Professional		$1,424.80	$1,736.06	$2,591.60
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 $1,329.32 / $3,393.30 / $5,305.04	Professional		$1,329.32	$3,393.30	$5,305.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.15 / $2,290.15 / $2,290.15	Professional		$2,290.15	$2,290.15	$2,290.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,025.52 / $3,514.46 / $4,521.75	Professional		$2,025.52	$3,514.46	$4,521.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $746.53 / $1,369.86 / $3,087.90	Professional		$746.53	$1,369.86	$3,087.90