Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.53 / $1,182.89 / $13,367.00	Facility		$561.53	$1,182.89	$13,367.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.83 / $729.60 / $2,601.17	Professional		$538.83	$729.60	$2,601.17
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 $684.35 / $1,295.83 / $3,624.71	Professional		$684.35	$1,295.83	$3,624.71
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 $1,968.95 / $2,300.87 / $3,529.59	Facility		$1,968.95	$2,300.87	$3,529.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $842.00 / $2,163.35 / $3,388.04	Professional		$842.00	$2,163.35	$3,388.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $564.98 / $853.63 / $1,518.24	Facility		$564.98	$853.63	$1,518.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $577.13 / $1,094.40 / $4,377.80	Facility		$577.13	$1,094.40	$4,377.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $774.52 / $1,609.03 / $5,495.44	Professional		$774.52	$1,609.03	$5,495.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $447.06 / $1,455.82	Professional		$66.47	$447.06	$1,455.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $566.58 / $853.63 / $1,518.24	Facility		$566.58	$853.63	$1,518.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,263.45 / $1,751.92 / $2,496.85	Professional		$1,263.45	$1,751.92	$2,496.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,039.98 / $4,039.98 / $5,994.41	Facility		$4,039.98	$4,039.98	$5,994.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,199.94 / $3,138.53 / $5,495.44	Professional		$1,199.94	$3,138.53	$5,495.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,879.01 / $3,659.05 / $4,744.79	Professional		$1,879.01	$3,659.05	$4,744.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $773.91 / $1,406.18 / $3,189.73	Professional		$773.91	$1,406.18	$3,189.73