Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.08 / $1,434.51 / $14,482.00	Facility		$681.08	$1,434.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $651.60 / $704.55 / $3,225.35	Professional		$651.60	$704.55	$3,225.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.65 / $1,571.72 / $4,199.82	Professional		$677.65	$1,571.72	$4,199.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,813.95 / $2,119.75 / $3,251.75	Facility		$1,813.95	$2,119.75	$3,251.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.91 / $2,778.77 / $3,157.69	Professional		$887.91	$2,778.77	$3,157.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $637.55 / $882.67 / $1,443.89	Facility		$637.55	$882.67	$1,443.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $641.78 / $1,393.12 / $5,639.00	Facility		$641.78	$1,393.12	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $617.79 / $1,361.73 / $5,179.35	Professional		$617.79	$1,361.73	$5,179.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $421.51 / $1,367.95	Professional		$66.47	$421.51	$1,367.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $637.55 / $840.00 / $1,443.89	Facility		$637.55	$840.00	$1,443.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,382.55 / $1,684.58 / $2,514.75	Professional		$1,382.55	$1,684.58	$2,514.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,300.05 / $3,373.80 / $5,179.35	Professional		$1,300.05	$3,373.80	$5,179.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.88 / $3,461.75 / $4,422.22	Professional		$1,136.88	$3,461.75	$4,422.22
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $4,155.00 / $6,438.00	Facility		$2,723.00	$4,155.00	$6,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.69 / $1,309.03 / $3,022.06	Professional		$653.69	$1,309.03	$3,022.06