Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.73 / $1,432.69 / $14,482.00	Facility		$677.73	$1,432.69	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.97 / $708.37 / $3,164.36	Professional		$648.97	$708.37	$3,164.36
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 $660.79 / $1,563.99 / $4,155.18	Professional		$660.79	$1,563.99	$4,155.18
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 $1,812.15 / $2,117.64 / $3,248.52	Facility		$1,812.15	$2,117.64	$3,248.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.44 / $2,773.08 / $3,151.23	Professional		$1,024.44	$2,773.08	$3,151.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $677.73 / $955.13 / $1,497.78	Facility		$677.73	$955.13	$1,497.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $677.73 / $1,379.79 / $13,250.00	Facility		$677.73	$1,379.79	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $737.51 / $1,449.78 / $5,175.60	Professional		$737.51	$1,449.78	$5,175.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $401.29 / $1,321.93	Professional		$66.47	$401.29	$1,321.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $677.73 / $948.82 / $1,497.78	Facility		$677.73	$948.82	$1,497.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,391.00 / $1,694.88 / $2,530.12	Professional		$1,391.00	$1,694.88	$2,530.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,097.92 / $9,097.92 / $25,114.25	Facility		$9,097.92	$9,097.92	$25,114.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,297.39 / $3,310.00 / $5,175.60	Professional		$1,297.39	$3,310.00	$5,175.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,236.02 / $2,236.02 / $2,236.02	Professional		$2,236.02	$2,236.02	$2,236.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,975.34 / $3,431.45 / $4,413.17	Professional		$1,975.34	$3,431.45	$4,413.17
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 $723.60 / $1,350.48 / $3,022.03	Professional		$723.60	$1,350.48	$3,022.03