Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.19 / $1,821.38 / $14,482.00	Facility		$863.19	$1,821.38	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $828.62 / $900.59 / $4,064.10	Professional		$828.62	$900.59	$4,064.10
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 $850.64 / $1,991.97 / $5,304.82	Professional		$850.64	$1,991.97	$5,304.82
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 $2,298.76 / $2,686.28 / $4,120.82	Facility		$2,298.76	$2,686.28	$4,120.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,305.72 / $3,528.53 / $4,009.69	Professional		$1,305.72	$3,528.53	$4,009.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $863.19 / $1,214.25 / $1,907.65	Facility		$863.19	$1,214.25	$1,907.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $863.19 / $1,740.43 / $15,090.00	Facility		$863.19	$1,740.43	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $978.42 / $1,718.46 / $6,601.92	Professional		$978.42	$1,718.46	$6,601.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $551.14 / $1,686.44	Professional		$66.47	$551.14	$1,686.44
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $863.19 / $1,208.47 / $1,907.65	Facility		$863.19	$1,208.47	$1,907.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,773.20 / $2,160.58 / $3,225.31	Professional		$1,773.20	$2,160.58	$3,225.31
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 $1,650.83 / $4,251.14 / $6,601.92	Professional		$1,650.83	$4,251.14	$6,601.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,854.66 / $2,854.66 / $2,854.66	Professional		$2,854.66	$2,854.66	$2,854.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,574.66 / $4,386.17 / $5,615.38	Professional		$2,574.66	$4,386.17	$5,615.38
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $964.42 / $1,718.46 / $3,868.55	Professional		$964.42	$1,718.46	$3,868.55