Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.59 / $1,444.39 / $14,482.00	Facility		$683.59	$1,444.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.69 / $714.00 / $3,191.46	Professional		$654.69	$714.00	$3,191.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $13,919.00 / $24,485.00	Facility		$5,479.00	$13,919.00	$24,485.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.62 / $1,577.52 / $4,187.64	Professional		$667.62	$1,577.52	$4,187.64
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 $1,827.47 / $2,135.54 / $3,275.98	Facility		$1,827.47	$2,135.54	$3,275.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.52 / $2,796.88 / $3,178.28	Professional		$1,033.52	$2,796.88	$3,178.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $683.59 / $940.43 / $1,510.73	Facility		$683.59	$940.43	$1,510.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $683.59 / $1,400.41 / $11,598.00	Facility		$683.59	$1,400.41	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $733.03 / $1,462.20 / $5,220.80	Professional		$733.03	$1,462.20	$5,220.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $406.75 / $1,321.93	Professional		$66.47	$406.75	$1,321.93
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $683.59 / $940.43 / $1,510.73	Facility		$683.59	$940.43	$1,510.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,402.05 / $1,708.34 / $2,550.21	Professional		$1,402.05	$1,708.34	$2,550.21
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 $1,308.53 / $3,338.35 / $5,220.80	Professional		$1,308.53	$3,338.35	$5,220.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,253.48 / $2,253.48 / $2,253.48	Professional		$2,253.48	$2,253.48	$2,253.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.11 / $3,458.96 / $4,451.07	Professional		$2,011.11	$3,458.96	$4,451.07
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $730.87 / $1,424.04 / $3,047.91	Professional		$730.87	$1,424.04	$3,047.91