Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.13 / $1,087.42 / $14,482.00	Facility		$518.13	$1,087.42	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.15 / $526.04 / $2,355.06	Professional		$503.15	$526.04	$2,355.06
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 $492.26 / $1,195.69 / $3,163.06	Professional		$492.26	$1,195.69	$3,163.06
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 $1,385.92 / $1,619.56 / $2,484.44	Facility		$1,385.92	$1,619.56	$2,484.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $753.58 / $2,118.90 / $2,407.84	Professional		$753.58	$2,118.90	$2,407.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $518.13 / $777.20 / $1,280.58	Facility		$518.13	$777.20	$1,280.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $518.13 / $1,087.43 / $8,384.00	Facility		$518.13	$1,087.43	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $557.01 / $1,093.88 / $4,864.16	Professional		$557.01	$1,093.88	$4,864.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $316.93 / $996.31	Professional		$65.66	$316.93	$996.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $518.13 / $777.20 / $1,280.58	Facility		$518.13	$777.20	$1,280.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,038.05 / $1,264.82 / $1,888.13	Professional		$1,038.05	$1,264.82	$1,888.13
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 $991.34 / $2,463.44 / $4,864.16	Professional		$991.34	$2,463.44	$4,864.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,702.12 / $1,702.12 / $1,702.12	Professional		$1,702.12	$1,702.12	$1,702.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,758.73 / $2,644.37 / $3,372.10	Professional		$1,758.73	$2,644.37	$3,372.10
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 $541.96 / $1,060.54 / $2,241.73	Professional		$541.96	$1,060.54	$2,241.73