Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $1,053.65 / $14,482.00	Facility		$497.17	$1,053.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.41 / $519.86 / $2,294.21	Professional		$474.41	$519.86	$2,294.21
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 $479.22 / $1,147.31 / $3,039.17	Professional		$479.22	$1,147.31	$3,039.17
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 $1,336.36 / $1,561.64 / $2,395.60	Facility		$1,336.36	$1,561.64	$2,395.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.31 / $2,038.80 / $2,316.81	Professional		$751.31	$2,038.80	$2,316.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $702.44 / $1,098.75	Facility		$497.17	$702.44	$1,098.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $998.44 / $8,296.28	Facility		$497.17	$998.44	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $533.48 / $1,012.00 / $3,792.88	Professional		$533.48	$1,012.00	$3,792.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $296.25 / $946.75	Professional		$61.84	$296.25	$946.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $696.04 / $1,098.75	Facility		$497.17	$696.04	$1,098.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,019.20 / $1,241.85 / $1,853.85	Professional		$1,019.20	$1,241.85	$1,853.85
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 $953.86 / $2,399.80 / $3,792.88	Professional		$953.86	$2,399.80	$3,792.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,635.46 / $1,635.46 / $1,635.46	Professional		$1,635.46	$1,635.46	$1,635.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,604.07 / $2,502.94 / $3,244.57	Professional		$1,604.07	$2,502.94	$3,244.57
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 $527.96 / $979.12 / $2,183.82	Professional		$527.96	$979.12	$2,183.82