Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.64 / $1,011.73 / $14,482.00	Facility		$481.64	$1,011.73	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.27 / $505.22 / $2,274.37	Professional		$465.27	$505.22	$2,274.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.01 / $1,111.47 / $3,122.92	Professional		$474.01	$1,111.47	$3,122.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,462.54 / $3,462.54 / $3,462.54	Facility		$3,462.54	$3,462.54	$3,462.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,276.89 / $1,492.14 / $2,288.98	Facility		$1,276.89	$1,492.14	$2,288.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.45 / $1,966.29 / $2,234.42	Professional		$760.45	$1,966.29	$2,234.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $481.64 / $663.61 / $1,064.42	Facility		$481.64	$663.61	$1,064.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $481.64 / $966.77 / $8,296.28	Facility		$481.64	$966.77	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $562.74 / $994.58 / $3,700.56	Professional		$562.74	$994.58	$3,700.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $296.47 / $965.00	Professional		$61.84	$296.47	$965.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $481.64 / $649.22 / $1,064.42	Facility		$481.64	$649.22	$1,064.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,001.65 / $1,220.47 / $1,821.92	Professional		$1,001.65	$1,220.47	$1,821.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3,244.77 / $3,244.77 / $8,957.00	Facility		$3,244.77	$3,244.77	$8,957.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $919.95 / $2,379.05 / $3,700.56	Professional		$919.95	$2,379.05	$3,700.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.86 / $1,610.86 / $1,610.86	Professional		$1,610.86	$1,610.86	$1,610.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.04 / $2,465.66 / $3,129.28	Professional		$1,080.04	$2,465.66	$3,129.28
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 $536.46 / $969.21 / $2,164.94	Professional		$536.46	$969.21	$2,164.94