Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.54 / $1,245.98 / $6,461.00	Facility		$554.54	$1,245.98	$6,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.61 / $691.15 / $2,740.44	Professional		$537.61	$691.15	$2,740.44
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 $590.50 / $1,109.08 / $3,302.00	Professional		$590.50	$1,109.08	$3,302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,322.40 / $1,322.40 / $1,322.40	Facility		$1,322.40	$1,322.40	$1,322.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,077.08 / $2,427.23 / $3,723.44	Facility		$2,077.08	$2,427.23	$3,723.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $752.91 / $1,978.76 / $3,518.86	Professional		$752.91	$1,978.76	$3,518.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $553.77 / $798.86 / $1,527.44	Facility		$553.77	$798.86	$1,527.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $554.54 / $879.64 / $7,160.00	Facility		$554.54	$879.64	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $589.69 / $1,378.13 / $5,632.56	Professional		$589.69	$1,378.13	$5,632.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $429.95 / $1,391.22	Professional		$67.79	$429.95	$1,391.22
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $554.54 / $798.23 / $1,527.44	Facility		$554.54	$798.23	$1,527.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,293.83 / $1,769.28 / $2,426.48	Professional		$1,293.83	$1,769.28	$2,426.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,238.23 / $1,238.23 / $4,294.38	Facility		$1,238.23	$1,238.23	$4,294.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,156.32 / $3,259.71 / $5,632.56	Professional		$1,156.32	$3,259.71	$5,632.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,856.94 / $1,856.94 / $2,316.57	Professional		$1,856.94	$1,856.94	$2,316.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,896.65 / $3,933.27 / $4,928.06	Professional		$1,896.65	$3,933.27	$4,928.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.97 / $1,225.00 / $2,796.38	Professional		$621.97	$1,225.00	$2,796.38