Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.08 / $1,342.21 / $14,482.00	Facility		$638.08	$1,342.21	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.55 / $641.17 / $2,979.28	Professional		$607.55	$641.17	$2,979.28
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 $625.80 / $1,472.49 / $3,894.02	Professional		$625.80	$1,472.49	$3,894.02
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 $1,688.70 / $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 $925.84 / $2,582.84 / $2,935.05	Professional		$925.84	$2,582.84	$2,935.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $638.08 / $908.12 / $1,727.00	Facility		$638.08	$908.12	$1,727.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $638.08 / $1,324.44 / $13,250.00	Facility		$638.08	$1,324.44	$13,250.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $690.39 / $1,258.70 / $6,294.01	Professional		$690.39	$1,258.70	$6,294.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $372.77 / $1,186.12	Professional		$65.66	$372.77	$1,186.12
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $638.08 / $908.12 / $1,727.00	Facility		$638.08	$908.12	$1,727.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,278.55 / $1,557.86 / $2,325.58	Professional		$1,278.55	$1,557.86	$2,325.58
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 $1,208.40 / $3,116.40 / $6,294.01	Professional		$1,208.40	$3,116.40	$6,294.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,095.46 / $2,095.46 / $2,095.46	Professional		$2,095.46	$2,095.46	$2,095.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,110.36 / $3,225.27 / $4,110.46	Professional		$2,110.36	$3,225.27	$4,110.46
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 $683.18 / $1,209.16 / $2,835.92	Professional		$683.18	$1,209.16	$2,835.92