Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.12 / $1,146.06 / $8,243.00	Facility		$544.12	$1,146.06	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.12 / $659.69 / $2,810.16	Professional		$544.12	$659.69	$2,810.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.08 / $1,255.67 / $3,598.69	Professional		$688.08	$1,255.67	$3,598.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,669.32 / $2,669.32 / $2,669.32	Facility		$2,669.32	$2,669.32	$2,669.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.36 / $2,030.24 / $3,114.44	Facility		$1,737.36	$2,030.24	$3,114.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.41 / $1,960.89 / $2,980.09	Professional		$822.41	$1,960.89	$2,980.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $544.12 / $815.30 / $1,366.49	Facility		$544.12	$815.30	$1,366.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.80 / $963.31 / $7,160.00	Facility		$563.80	$963.31	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $761.34 / $1,649.24 / $4,812.16	Professional		$761.34	$1,649.24	$4,812.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $383.62 / $1,253.47	Professional		$66.47	$383.62	$1,253.47
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $544.12 / $814.98 / $1,366.49	Facility		$544.12	$814.98	$1,366.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,208.45 / $1,549.15 / $2,303.28	Professional		$1,208.45	$1,549.15	$2,303.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,865.24 / $2,865.24 / $3,850.56	Facility		$2,865.24	$2,865.24	$3,850.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,187.15 / $2,766.75 / $4,812.16	Professional		$1,187.15	$2,766.75	$4,812.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,812.86 / $1,812.86 / $2,152.83	Professional		$1,812.86	$1,812.86	$2,152.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,934.28 / $3,521.21 / $4,173.53	Professional		$1,934.28	$3,521.21	$4,173.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,754.00 / $8,384.00	Facility		$4,918.00	$6,754.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.46 / $1,440.31 / $3,004.89	Professional		$728.46	$1,440.31	$3,004.89