Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.25 / $1,117.98 / $14,482.00	Facility		$528.25	$1,117.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.62 / $552.74 / $2,463.56	Professional		$505.62	$552.74	$2,463.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.16 / $1,056.49 / $3,247.95	Professional		$516.16	$1,056.49	$3,247.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $822.21 / $822.21 / $822.21	Facility		$822.21	$822.21	$822.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,414.76 / $1,653.26 / $2,536.14	Facility		$1,414.76	$1,653.26	$2,536.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.98 / $2,163.66 / $2,458.69	Professional		$799.98	$2,163.66	$2,458.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $528.25 / $745.32 / $1,165.50	Facility		$528.25	$745.32	$1,165.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $528.25 / $1,085.85 / $3,995.00	Facility		$528.25	$1,085.85	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $566.92 / $1,039.16 / $4,241.68	Professional		$566.92	$1,039.16	$4,241.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $325.89 / $1,015.79	Professional		$65.66	$325.89	$1,015.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $528.25 / $739.55 / $1,165.50	Facility		$528.25	$739.55	$1,165.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,084.84 / $1,321.85 / $1,973.26	Professional		$1,084.84	$1,321.85	$1,973.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $775.87 / $775.87 / $3,849.96	Facility		$775.87	$775.87	$3,849.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,012.29 / $2,576.94 / $4,241.68	Professional		$1,012.29	$2,576.94	$4,241.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,742.12 / $1,742.12 / $1,742.12	Professional		$1,742.12	$1,742.12	$1,742.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.83 / $2,672.20 / $3,443.34	Professional		$1,335.83	$2,672.20	$3,443.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,957.00 / $3,068.00 / $4,295.00	Facility		$1,957.00	$3,068.00	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $564.30 / $1,030.78 / $2,345.02	Professional		$564.30	$1,030.78	$2,345.02