Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.08 / $1,470.04 / $14,482.00	Facility		$696.08	$1,470.04	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.93 / $726.79 / $3,259.20	Professional		$666.93	$726.79	$3,259.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $682.33 / $1,606.33 / $4,268.92	Professional		$682.33	$1,606.33	$4,268.92
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 $1,858.11 / $2,171.35 / $3,330.90	Facility		$1,858.11	$2,171.35	$3,330.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.67 / $2,744.06 / $3,234.68	Professional		$1,050.67	$2,744.06	$3,234.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $696.08 / $945.00 / $1,479.81	Facility		$696.08	$945.00	$1,479.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.08 / $1,404.70 / $8,384.00	Facility		$696.08	$1,404.70	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $750.02 / $1,477.68 / $5,316.00	Professional		$750.02	$1,477.68	$5,316.00
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 $696.08 / $942.00 / $1,479.81	Facility		$696.08	$942.00	$1,479.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,428.05 / $1,740.02 / $2,597.51	Professional		$1,428.05	$1,740.02	$2,597.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,165.12 / $9,165.12 / $25,299.80	Facility		$9,165.12	$9,165.12	$25,299.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,331.77 / $3,409.20 / $5,316.00	Professional		$1,331.77	$3,409.20	$5,316.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,297.21 / $2,297.21 / $2,297.21	Professional		$2,297.21	$2,297.21	$2,297.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,070.30 / $3,526.53 / $4,530.12	Professional		$2,070.30	$3,526.53	$4,530.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.69 / $1,377.15 / $3,102.37	Professional		$747.69	$1,377.15	$3,102.37