Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.75 / $1,055.45 / $17,823.00	Facility		$344.75	$1,055.45	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.92 / $502.11 / $1,853.66	Professional		$335.92	$502.11	$1,853.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.73 / $795.58 / $2,254.33	Professional		$436.73	$795.58	$2,254.33
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 $1,363.39 / $1,593.23 / $2,444.06	Facility		$1,363.39	$1,593.23	$2,444.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.82 / $1,258.55 / $2,348.04	Professional		$580.82	$1,258.55	$2,348.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $344.75 / $562.91 / $1,050.06	Facility		$344.75	$562.91	$1,050.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $694.19 / $12,741.00	Facility		$387.54	$694.19	$12,741.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $572.69 / $1,161.61 / $3,959.35	Professional		$572.69	$1,161.61	$3,959.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $287.53 / $964.50	Professional		$61.84	$287.53	$964.50
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $344.75 / $562.91 / $1,050.06	Facility		$344.75	$562.91	$1,050.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $806.83 / $1,160.98 / $1,709.91	Professional		$806.83	$1,160.98	$1,709.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,644.56 / $1,644.56 / $7,213.88	Facility		$1,644.56	$1,644.56	$7,213.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $772.99 / $2,175.12 / $3,959.35	Professional		$772.99	$2,175.12	$3,959.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,139.71 / $1,139.71 / $1,669.80	Professional		$1,139.71	$1,139.71	$1,669.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,465.36 / $2,258.90 / $3,288.35	Professional		$1,465.36	$2,258.90	$3,288.35
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 $556.72 / $1,028.22 / $2,302.80	Professional		$556.72	$1,028.22	$2,302.80