Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.51 / $1,996.58 / $14,482.00	Facility		$946.51	$1,996.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.74 / $987.14 / $4,221.00	Professional		$836.74	$987.14	$4,221.00
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 $930.71 / $2,184.26 / $5,815.37	Professional		$930.71	$2,184.26	$5,815.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10,367.51 / $10,367.51 / $10,367.51	Facility		$10,367.51	$10,367.51	$10,367.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,515.92 / $2,940.06 / $4,510.13	Facility		$2,515.92	$2,940.06	$4,510.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,423.42 / $3,865.13 / $4,392.18	Professional		$1,423.42	$3,865.13	$4,392.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $946.51 / $1,235.92 / $2,091.79	Facility		$946.51	$1,235.92	$2,091.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $946.51 / $1,962.48 / $13,442.00	Facility		$946.51	$1,962.48	$13,442.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,033.64 / $1,886.31 / $7,235.44	Professional		$1,033.64	$1,886.31	$7,235.44
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 $946.51 / $1,235.92 / $2,091.79	Facility		$946.51	$1,235.92	$2,091.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,944.80 / $2,369.66 / $3,537.44	Professional		$1,944.80	$2,369.66	$3,537.44
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 $1,754.08 / $4,662.64 / $7,235.44	Professional		$1,754.08	$4,662.64	$7,235.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,129.38 / $3,129.38 / $3,129.38	Professional		$3,129.38	$3,129.38	$3,129.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,131.65 / $4,806.74 / $6,151.16	Professional		$2,131.65	$4,806.74	$6,151.16
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 $1,022.42 / $1,966.48 / $4,103.13	Professional		$1,022.42	$1,966.48	$4,103.13