Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.65 / $1,038.92 / $14,482.00	Facility		$484.65	$1,038.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.45 / $501.68 / $2,396.07	Professional		$477.45	$501.68	$2,396.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,479.00 / $9,096.00 / $15,579.70	Facility		$5,479.00	$9,096.00	$15,579.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.05 / $1,118.41 / $3,178.46	Professional		$525.05	$1,118.41	$3,178.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8,232.16 / $8,232.16 / $8,232.16	Facility		$8,232.16	$8,232.16	$8,232.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,295.81 / $1,514.26 / $2,322.91	Facility		$1,295.81	$1,514.26	$2,322.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $756.20 / $1,984.97 / $2,255.65	Professional		$756.20	$1,984.97	$2,255.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $477.45 / $717.32 / $1,163.89	Facility		$477.45	$717.32	$1,163.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $484.65 / $1,027.46 / $8,384.00	Facility		$484.65	$1,027.46	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $582.47 / $1,100.44 / $5,937.38	Professional		$582.47	$1,100.44	$5,937.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $291.40 / $964.43	Professional		$61.81	$291.40	$964.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $477.45 / $717.32 / $1,163.89	Facility		$477.45	$717.32	$1,163.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $978.25 / $1,191.96 / $1,779.36	Professional		$978.25	$1,191.96	$1,779.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,711.99 / $7,711.99 / $21,288.50	Facility		$7,711.99	$7,711.99	$21,288.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $928.69 / $2,506.35 / $5,937.38	Professional		$928.69	$2,506.35	$5,937.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.16 / $1,601.16 / $1,601.16	Professional		$1,601.16	$1,601.16	$1,601.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,877.72 / $2,687.45 / $3,158.95	Professional		$1,877.72	$2,687.45	$3,158.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.59 / $1,038.17 / $2,288.30	Professional		$560.59	$1,038.17	$2,288.30