Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.86 / $1,103.76 / $14,482.00	Facility		$531.86	$1,103.76	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.86 / $550.02 / $2,084.88	Professional		$531.86	$550.02	$2,084.88
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 $547.10 / $1,227.38 / $3,431.13	Professional		$547.10	$1,227.38	$3,431.13
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 $1,424.67 / $1,664.84 / $2,553.91	Facility		$1,424.67	$1,664.84	$2,553.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.71 / $2,160.37 / $2,454.96	Professional		$833.71	$2,160.37	$2,454.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $531.86 / $735.84 / $1,175.41	Facility		$531.86	$735.84	$1,175.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $531.86 / $1,097.90 / $8,384.00	Facility		$531.86	$1,097.90	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $593.23 / $1,111.74 / $4,935.14	Professional		$593.23	$1,111.74	$4,935.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $327.40 / $1,071.89	Professional		$61.81	$327.40	$1,071.89
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $531.86 / $709.78 / $1,175.41	Facility		$531.86	$709.78	$1,175.41
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,048.45 / $1,277.50 / $1,907.05	Professional		$1,048.45	$1,277.50	$1,907.05
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 $1,010.74 / $2,696.50 / $4,935.14	Professional		$1,010.74	$2,696.50	$4,935.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,761.09 / $1,761.09 / $1,761.09	Professional		$1,761.09	$1,761.09	$1,761.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,421.10 / $2,845.98 / $3,438.08	Professional		$1,421.10	$2,845.98	$3,438.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.89 / $1,078.59 / $2,461.90	Professional		$582.89	$1,078.59	$2,461.90