Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.59 / $1,058.49 / $14,482.00	Facility		$497.59	$1,058.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.25 / $575.62 / $2,184.38	Professional		$452.25	$575.62	$2,184.38
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 $475.09 / $1,148.28 / $3,157.61	Professional		$475.09	$1,148.28	$3,157.61
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 $1,339.97 / $1,565.86 / $2,402.06	Facility		$1,339.97	$1,565.86	$2,402.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.96 / $1,975.85 / $2,327.54	Professional		$607.96	$1,975.85	$2,327.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $497.59 / $696.63 / $1,058.49	Facility		$497.59	$696.63	$1,058.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.64 / $987.91 / $8,296.28	Facility		$501.64	$987.91	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $484.66 / $957.18 / $3,855.60	Professional		$484.66	$957.18	$3,855.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.60 / $332.64 / $1,054.42	Professional		$65.60	$332.64	$1,054.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $497.59 / $675.56 / $1,058.49	Facility		$497.59	$675.56	$1,058.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,072.50 / $1,306.80 / $1,946.05	Professional		$1,072.50	$1,306.80	$1,946.05
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 $958.28 / $2,381.05 / $3,855.60	Professional		$958.28	$2,381.05	$3,855.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,636.66 / $1,636.66 / $1,636.66	Professional		$1,636.66	$1,636.66	$1,636.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.19 / $2,513.14 / $3,259.65	Professional		$1,023.19	$2,513.14	$3,259.65
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 $508.24 / $971.47 / $2,166.76	Professional		$508.24	$971.47	$2,166.76