Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.57 / $1,971.85 / $14,482.00	Facility		$935.57	$1,971.85	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $898.00 / $974.78 / $4,397.74	Professional		$898.00	$974.78	$4,397.74
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 $918.66 / $2,159.02 / $5,749.05	Professional		$918.66	$2,159.02	$5,749.05
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 $2,489.79 / $2,909.52 / $4,463.28	Facility		$2,489.79	$2,909.52	$4,463.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,407.28 / $3,820.92 / $4,341.95	Professional		$1,407.28	$3,820.92	$4,341.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $935.57 / $1,350.94 / $2,078.19	Facility		$935.57	$1,350.94	$2,078.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $935.57 / $1,935.37 / $13,250.00	Facility		$935.57	$1,935.37	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,051.55 / $2,014.87 / $7,146.88	Professional		$1,051.55	$2,014.87	$7,146.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $583.76 / $1,857.67	Professional		$66.47	$583.76	$1,857.67
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $935.57 / $1,350.94 / $2,078.19	Facility		$935.57	$1,350.94	$2,078.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,918.80 / $2,337.98 / $3,490.15	Professional		$1,918.80	$2,337.98	$3,490.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,787.63 / $4,600.14 / $7,146.88	Professional		$1,787.63	$4,600.14	$7,146.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,093.70 / $3,093.70 / $3,093.70	Professional		$3,093.70	$3,093.70	$3,093.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,790.47 / $4,753.30 / $6,080.75	Professional		$2,790.47	$4,753.30	$6,080.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,981.00 / $11,799.00 / $16,373.00	Facility		$4,981.00	$11,799.00	$16,373.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,037.75 / $1,849.26 / $4,186.14	Professional		$1,037.75	$1,849.26	$4,186.14