Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.03 / $1,335.94 / $8,243.00	Facility		$644.03	$1,335.94	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.03 / $772.26 / $3,024.68	Professional		$644.03	$772.26	$3,024.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.80 / $1,486.22 / $4,033.41	Professional		$737.80	$1,486.22	$4,033.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,554.79 / $1,554.79 / $1,554.79	Facility		$1,554.79	$1,554.79	$1,554.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,080.69 / $2,431.44 / $3,729.90	Facility		$2,080.69	$2,431.44	$3,729.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.71 / $2,292.17 / $3,551.60	Professional		$873.71	$2,292.17	$3,551.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $644.03 / $901.64 / $1,608.89	Facility		$644.03	$901.64	$1,608.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $650.97 / $1,067.54 / $4,292.39	Facility		$650.97	$1,067.54	$4,292.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $777.73 / $1,680.48 / $5,713.92	Professional		$777.73	$1,680.48	$5,713.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.96 / $452.03 / $1,478.61	Professional		$93.96	$452.03	$1,478.61
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $644.03 / $890.63 / $1,608.89	Facility		$644.03	$890.63	$1,608.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,406.09 / $1,828.73 / $2,622.10	Professional		$1,406.09	$1,828.73	$2,622.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,350.75 / $1,350.75 / $4,527.47	Facility		$1,350.75	$1,350.75	$4,527.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,358.92 / $3,290.04 / $5,713.92	Professional		$1,358.92	$3,290.04	$5,713.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,163.42 / $2,163.42 / $2,595.10	Professional		$2,163.42	$2,163.42	$2,595.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,990.84 / $4,143.85 / $4,973.92	Professional		$1,990.84	$4,143.85	$4,973.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $747.25 / $1,534.56 / $3,356.08	Professional		$747.25	$1,534.56	$3,356.08