Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.25 / $1,045.53 / $14,482.00	Facility		$493.25	$1,045.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.64 / $515.80 / $2,276.14	Professional		$470.64	$515.80	$2,276.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.91 / $1,138.27 / $3,016.84	Professional		$475.91	$1,138.27	$3,016.84
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 $1,327.35 / $1,551.11 / $2,379.44	Facility		$1,327.35	$1,551.11	$2,379.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.56 / $2,023.78 / $2,299.75	Professional		$745.56	$2,023.78	$2,299.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $493.25 / $697.02 / $1,099.00	Facility		$493.25	$697.02	$1,099.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $493.25 / $1,021.46 / $11,100.00	Facility		$493.25	$1,021.46	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $523.79 / $1,031.98 / $4,332.49	Professional		$523.79	$1,031.98	$4,332.49
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 $493.25 / $690.55 / $1,099.00	Facility		$493.25	$690.55	$1,099.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,011.40 / $1,232.34 / $1,839.66	Professional		$1,011.40	$1,232.34	$1,839.66
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 $946.84 / $2,380.90 / $4,332.49	Professional		$946.84	$2,380.90	$4,332.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.42 / $1,623.42 / $1,623.42	Professional		$1,623.42	$1,623.42	$1,623.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,545.07 / $2,484.92 / $3,220.71	Professional		$1,545.07	$2,484.92	$3,220.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.97 / $921.54 / $2,166.62	Professional		$518.97	$921.54	$2,166.62