Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.37 / $1,460.47 / $14,482.00	Facility		$602.37	$1,460.47	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.23 / $611.59 / $2,843.67	Professional		$576.23	$611.59	$2,843.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.82 / $1,271.47 / $3,717.42	Professional		$594.82	$1,271.47	$3,717.42
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 $1,847.30 / $2,158.71 / $3,311.52	Facility		$1,847.30	$2,158.71	$3,311.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,031.67 / $2,752.85 / $3,215.05	Professional		$1,031.67	$2,752.85	$3,215.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.37 / $903.56 / $2,100.00	Facility		$602.37	$903.56	$2,100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $614.95 / $1,331.24 / $13,250.00	Facility		$614.95	$1,331.24	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $670.35 / $1,201.00 / $7,679.29	Professional		$670.35	$1,201.00	$7,679.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $421.51 / $1,392.12	Professional		$66.47	$421.51	$1,392.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $602.37 / $903.56 / $2,100.00	Facility		$602.37	$903.56	$2,100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,369.05 / $1,728.94 / $2,479.01	Professional		$1,369.05	$1,728.94	$2,479.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,924.07 / $10,924.07 / $30,155.25	Facility		$10,924.07	$10,924.07	$30,155.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,283.96 / $2,978.28 / $7,679.29	Professional		$1,283.96	$2,978.28	$7,679.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,000.44 / $2,000.44 / $2,000.44	Professional		$2,000.44	$2,000.44	$2,000.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,991.85 / $3,156.78 / $4,502.52	Professional		$1,991.85	$3,156.78	$4,502.52
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $670.22 / $1,154.13 / $2,724.69	Professional		$670.22	$1,154.13	$2,724.69