Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.84 / $1,116.97 / $13,367.00	Facility		$526.84	$1,116.97	$13,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.84 / $631.35 / $2,683.33	Professional		$526.84	$631.35	$2,683.33
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 $686.59 / $1,215.78 / $3,568.88	Professional		$686.59	$1,215.78	$3,568.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,669.32 / $2,669.32 / $2,669.32	Facility		$2,669.32	$2,669.32	$2,669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,688.70 / $1,973.38 / $3,027.21	Facility		$1,688.70	$1,973.38	$3,027.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $829.20 / $1,956.15 / $2,918.64	Professional		$829.20	$1,956.15	$2,918.64
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $526.84 / $849.84 / $1,436.03	Facility		$526.84	$849.84	$1,436.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.22 / $987.90 / $7,160.00	Facility		$563.22	$987.90	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $781.67 / $1,569.38 / $5,790.42	Professional		$781.67	$1,569.38	$5,790.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $388.03 / $1,231.38	Professional		$66.47	$388.03	$1,231.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $526.84 / $844.25 / $1,436.03	Facility		$526.84	$844.25	$1,436.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,179.28 / $1,523.81 / $2,274.75	Professional		$1,179.28	$1,523.81	$2,274.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,742.32 / $3,742.32 / $4,408.56	Facility		$3,742.32	$3,742.32	$4,408.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,120.09 / $2,811.30 / $5,790.42	Professional		$1,120.09	$2,811.30	$5,790.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.69 / $1,750.69 / $2,101.85	Professional		$1,750.69	$1,750.69	$2,101.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,083.55 / $3,415.60 / $4,087.43	Professional		$2,083.55	$3,415.60	$4,087.43
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 $739.98 / $1,412.44 / $3,028.89	Professional		$739.98	$1,412.44	$3,028.89