Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.07 / $1,200.58 / $14,482.00	Facility		$570.07	$1,200.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.74 / $589.73 / $2,665.18	Professional		$543.74	$589.73	$2,665.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.00 / $9,948.00 / $15,579.70	Facility		$6,538.00	$9,948.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.47 / $1,315.54 / $3,349.70	Professional		$554.47	$1,315.54	$3,349.70
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 $1,521.99 / $1,778.57 / $2,728.37	Facility		$1,521.99	$1,778.57	$2,728.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.51 / $2,324.21 / $2,641.16	Professional		$849.51	$2,324.21	$2,641.16
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $570.07 / $806.72 / $1,482.18	Facility		$570.07	$806.72	$1,482.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $570.07 / $1,186.85 / $13,250.00	Facility		$570.07	$1,186.85	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $604.14 / $1,120.72 / $5,007.80	Professional		$604.14	$1,120.72	$5,007.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $335.37 / $1,077.80	Professional		$66.47	$335.37	$1,077.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $570.07 / $806.72 / $1,482.18	Facility		$570.07	$806.72	$1,482.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,157.00 / $1,409.76 / $2,104.48	Professional		$1,157.00	$1,409.76	$2,104.48
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 $1,087.39 / $2,787.85 / $5,007.80	Professional		$1,087.39	$2,787.85	$5,007.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,883.73 / $1,883.73 / $1,883.73	Professional		$1,883.73	$1,883.73	$1,883.73
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,853.88 / $2,881.46 / $3,698.82	Professional		$1,853.88	$2,881.46	$3,698.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,301.00 / $11,608.00 / $13,980.00	Facility		$7,301.00	$11,608.00	$13,980.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.88 / $1,105.72 / $2,536.94	Professional		$593.88	$1,105.72	$2,536.94