Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.07 / $2,078.37 / $14,482.00	Facility		$987.07	$2,078.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $947.52 / $987.07 / $4,811.12	Professional		$947.52	$987.07	$4,811.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.20 / $2,277.86 / $5,846.54	Professional		$1,013.20	$2,277.86	$5,846.54
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 $2,600.63 / $3,039.04 / $4,661.97	Facility		$2,600.63	$3,039.04	$4,661.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.75 / $4,036.85 / $4,587.33	Professional		$1,393.75	$4,036.85	$4,587.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $967.33 / $1,299.96 / $2,181.42	Facility		$967.33	$1,299.96	$2,181.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $967.33 / $1,986.00 / $11,100.00	Facility		$967.33	$1,986.00	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,050.91 / $2,038.44 / $7,546.48	Professional		$1,050.91	$2,038.44	$7,546.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.64 / $593.21 / $1,831.97	Professional		$95.64	$593.21	$1,831.97
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $967.33 / $1,285.24 / $2,181.42	Facility		$967.33	$1,285.24	$2,181.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,948.05 / $2,373.62 / $3,543.35	Professional		$1,948.05	$2,373.62	$3,543.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,888.67 / $5,032.55 / $7,546.48	Professional		$1,888.67	$5,032.55	$7,546.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,287.87 / $3,287.87 / $3,287.87	Professional		$3,287.87	$3,287.87	$3,287.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3,075.94 / $5,091.06 / $6,424.41	Professional		$3,075.94	$5,091.06	$6,424.41
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 $1,060.69 / $2,038.44 / $4,579.62	Professional		$1,060.69	$2,038.44	$4,579.62