Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $731.52 / $1,547.57 / $14,482.00	Facility		$731.52	$1,547.57	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.22 / $772.32 / $2,823.28	Professional		$690.22	$772.32	$2,823.28
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 $715.40 / $1,688.12 / $4,485.27	Professional		$715.40	$1,688.12	$4,485.27
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 $1,957.23 / $2,287.17 / $3,508.59	Facility		$1,957.23	$2,287.17	$3,508.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,106.65 / $2,996.35 / $3,404.94	Professional		$1,106.65	$2,996.35	$3,404.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $731.52 / $1,058.98 / $1,901.95	Facility		$731.52	$1,058.98	$1,901.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.52 / $1,525.75 / $11,598.00	Facility		$731.52	$1,525.75	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $798.96 / $1,567.21 / $6,095.88	Professional		$798.96	$1,567.21	$6,095.88
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 $731.52 / $1,058.98 / $1,901.95	Facility		$731.52	$1,058.98	$1,901.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,503.45 / $1,831.90 / $2,734.66	Professional		$1,503.45	$1,831.90	$2,734.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10,348.95 / $10,348.95 / $28,567.65	Facility		$10,348.95	$10,348.95	$28,567.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,401.85 / $3,578.10 / $6,095.88	Professional		$1,401.85	$3,578.10	$6,095.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,413.62 / $2,413.62 / $2,413.62	Professional		$2,413.62	$2,413.62	$2,413.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,386.19 / $3,705.56 / $4,768.51	Professional		$2,386.19	$3,705.56	$4,768.51
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 $783.41 / $1,525.90 / $3,403.71	Professional		$783.41	$1,525.90	$3,403.71