Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.84 / $1,041.08 / $13,367.00	Facility		$499.84	$1,041.08	$13,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.84 / $656.86 / $2,562.44	Professional		$499.84	$656.86	$2,562.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.63 / $1,153.47 / $3,226.44	Professional		$630.63	$1,153.47	$3,226.44
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 $1,768.90 / $2,067.10 / $3,170.98	Facility		$1,768.90	$2,067.10	$3,170.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.06 / $1,817.16 / $3,025.01	Professional		$752.06	$1,817.16	$3,025.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $499.84 / $753.15 / $1,356.59	Facility		$499.84	$753.15	$1,356.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.71 / $917.29 / $7,160.00	Facility		$517.71	$917.29	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $693.64 / $1,456.90 / $4,891.20	Professional		$693.64	$1,456.90	$4,891.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $396.79 / $1,272.21	Professional		$66.47	$396.79	$1,272.21
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $499.84 / $749.76 / $1,356.59	Facility		$499.84	$749.76	$1,356.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,143.52 / $1,565.77 / $2,231.54	Professional		$1,143.52	$1,565.77	$2,231.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,580.50 / $3,580.50 / $5,994.41	Facility		$3,580.50	$3,580.50	$5,994.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,087.38 / $2,802.24 / $4,891.20	Professional		$1,087.38	$2,802.24	$4,891.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,657.66 / $1,657.66 / $2,184.39	Professional		$1,657.66	$1,657.66	$2,184.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.58 / $3,233.02 / $4,236.39	Professional		$1,610.58	$3,233.02	$4,236.39
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 $687.20 / $1,320.92 / $2,891.26	Professional		$687.20	$1,320.92	$2,891.26