Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.44 / $1,257.39 / $14,482.00	Facility		$602.44	$1,257.39	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.61 / $612.19 / $2,916.66	Professional		$574.61	$612.19	$2,916.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.87 / $1,390.24 / $3,705.71	Professional		$614.87	$1,390.24	$3,705.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,995.29 / $5,995.29 / $5,995.29	Facility		$5,995.29	$5,995.29	$5,995.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,603.99 / $1,874.39 / $2,875.37	Facility		$1,603.99	$1,874.39	$2,875.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $919.61 / $2,455.29 / $2,790.10	Professional		$919.61	$2,455.29	$2,790.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $602.44 / $850.88 / $1,397.10	Facility		$602.44	$850.88	$1,397.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.44 / $1,257.39 / $13,250.00	Facility		$602.44	$1,257.39	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $682.85 / $1,226.46 / $6,589.56	Professional		$682.85	$1,226.46	$6,589.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $372.77 / $1,186.12	Professional		$65.66	$372.77	$1,186.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $602.44 / $846.33 / $1,397.10	Facility		$602.44	$846.33	$1,397.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,201.84 / $1,464.41 / $2,186.07	Professional		$1,201.84	$1,464.41	$2,186.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5,994.41 / $5,994.41 / $16,547.20	Facility		$5,994.41	$5,994.41	$16,547.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $3,050.90 / $6,589.56	Professional		$1,148.71	$3,050.90	$6,589.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,994.13 / $1,994.13 / $1,994.13	Professional		$1,994.13	$1,994.13	$1,994.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,988.09 / $3,172.60 / $3,907.40	Professional		$1,988.09	$3,172.60	$3,907.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,266.00 / $11,608.00 / $13,980.00	Facility		$5,266.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $664.90 / $1,228.98 / $2,785.47	Professional		$664.90	$1,228.98	$2,785.47