Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.26 / $1,360.48 / $14,482.00	Facility		$636.26	$1,360.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.87 / $848.25 / $3,064.00	Professional		$599.87	$848.25	$3,064.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $624.79 / $1,468.30 / $3,929.24	Professional		$624.79	$1,468.30	$3,929.24
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 $1,684.19 / $1,968.11 / $3,019.14	Facility		$1,684.19	$1,968.11	$3,019.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.45 / $2,591.36 / $2,944.73	Professional		$998.45	$2,591.36	$2,944.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $636.26 / $874.71 / $1,406.13	Facility		$636.26	$874.71	$1,406.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $636.26 / $1,340.48 / $5,801.00	Facility		$636.26	$1,340.48	$5,801.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $745.94 / $1,261.08 / $4,866.00	Professional		$745.94	$1,261.08	$4,866.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $398.80 / $1,255.29	Professional		$66.47	$398.80	$1,255.29
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $636.26 / $874.71 / $1,406.13	Facility		$636.26	$874.71	$1,406.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,317.55 / $1,605.38 / $2,396.52	Professional		$1,317.55	$1,605.38	$2,396.52
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 $1,176.01 / $3,129.35 / $4,866.00	Professional		$1,176.01	$3,129.35	$4,866.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,902.93 / $3,221.14 / $4,124.01	Professional		$1,902.93	$3,221.14	$4,124.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $698.36 / $1,264.25 / $2,857.10	Professional		$698.36	$1,264.25	$2,857.10