Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $1,081.42 / $14,482.00	Facility		$508.87	$1,081.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.63 / $532.04 / $2,342.77	Professional		$485.63	$532.04	$2,342.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.03 / $1,118.18 / $3,118.64	Professional		$490.03	$1,118.18	$3,118.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,370.60 / $1,601.66 / $2,456.98	Facility		$1,370.60	$1,601.66	$2,456.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.80 / $2,090.30 / $2,375.34	Professional		$770.80	$2,090.30	$2,375.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $480.63 / $615.21 / $1,081.42	Facility		$480.63	$615.21	$1,081.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $480.63 / $948.79 / $7,891.00	Facility		$480.63	$948.79	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $508.10 / $985.14 / $3,888.88	Professional		$508.10	$985.14	$3,888.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $296.25 / $965.52	Professional		$61.84	$296.25	$965.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $480.63 / $595.38 / $1,081.42	Facility		$480.63	$595.38	$1,081.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,045.84 / $1,274.33 / $1,902.32	Professional		$1,045.84	$1,274.33	$1,902.32
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.97 / $2,450.60 / $3,888.88	Professional		$977.97	$2,450.60	$3,888.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,672.75 / $1,672.75 / $1,672.75	Professional		$1,672.75	$1,672.75	$1,672.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $881.08 / $2,556.54 / $3,326.60	Professional		$881.08	$2,556.54	$3,326.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $1,028.48 / $2,156.53	Professional		$511.20	$1,028.48	$2,156.53