Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.01 / $1,925.60 / $14,482.00	Facility		$515.01	$1,925.60	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.25 / $812.01 / $2,405.48	Professional		$494.25	$812.01	$2,405.48
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 $504.11 / $1,188.48 / $3,181.01	Professional		$504.11	$1,188.48	$3,181.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.10 / $1,596.39 / $2,448.91	Facility		$1,366.10	$1,596.39	$2,448.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.87 / $2,097.57 / $2,383.60	Professional		$720.87	$2,097.57	$2,383.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $515.01 / $682.50 / $1,200.50	Facility		$515.01	$682.50	$1,200.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $515.01 / $1,062.38 / $7,891.00	Facility		$515.01	$1,062.38	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $494.35 / $1,016.64 / $3,922.80	Professional		$494.35	$1,016.64	$3,922.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $311.61 / $996.31	Professional		$61.81	$311.61	$996.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $515.01 / $682.50 / $1,200.50	Facility		$515.01	$682.50	$1,200.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,048.45 / $1,277.50 / $1,907.05	Professional		$1,048.45	$1,277.50	$1,907.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $6,817.20	Facility		$2,469.60	$2,469.60	$6,817.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $981.36 / $2,516.19 / $3,922.80	Professional		$981.36	$2,516.19	$3,922.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $923.72 / $2,606.26 / $3,338.15	Professional		$923.72	$2,606.26	$3,338.15
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 $522.98 / $1,019.76 / $2,289.73	Professional		$522.98	$1,019.76	$2,289.73