Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.89 / $1,559.70 / $14,482.00	Facility		$736.89	$1,559.70	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.63 / $771.44 / $3,445.33	Professional		$705.63	$771.44	$3,445.33
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 $721.22 / $1,700.52 / $4,516.56	Professional		$721.22	$1,700.52	$4,516.56
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 $1,971.65 / $2,304.03 / $3,534.44	Facility		$1,971.65	$2,304.03	$3,534.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,115.73 / $3,018.19 / $3,429.76	Professional		$1,115.73	$3,018.19	$3,429.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $736.89 / $862.16 / $1,565.59	Facility		$736.89	$862.16	$1,565.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $736.89 / $1,490.38 / $15,090.00	Facility		$736.89	$1,490.38	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $783.07 / $1,450.44 / $5,633.68	Professional		$783.07	$1,450.44	$5,633.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $442.23 / $1,464.01	Professional		$66.47	$442.23	$1,464.01
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $736.89 / $862.16 / $1,565.59	Facility		$736.89	$862.16	$1,565.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,515.15 / $1,846.15 / $2,755.94	Professional		$1,515.15	$1,846.15	$2,755.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,661.18 / $9,661.18 / $26,669.10	Facility		$9,661.18	$9,661.18	$26,669.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,412.07 / $3,603.90 / $5,633.68	Professional		$1,412.07	$3,603.90	$5,633.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,430.46 / $2,430.46 / $2,430.46	Professional		$2,430.46	$2,430.46	$2,430.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,188.67 / $3,731.54 / $4,803.22	Professional		$2,188.67	$3,731.54	$4,803.22
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 $786.82 / $1,450.44 / $3,279.55	Professional		$786.82	$1,450.44	$3,279.55