Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.41 / $1,149.82 / $14,482.00	Facility		$543.41	$1,149.82	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.45 / $568.66 / $2,521.88	Professional		$519.45	$568.66	$2,521.88
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 $527.54 / $1,254.03 / $3,183.87	Professional		$527.54	$1,254.03	$3,183.87
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 $1,457.11 / $1,702.75 / $2,612.06	Facility		$1,457.11	$1,702.75	$2,612.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $823.69 / $2,226.80 / $2,530.44	Professional		$823.69	$2,226.80	$2,530.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $543.41 / $738.56 / $1,277.58	Facility		$543.41	$738.56	$1,277.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $543.41 / $1,105.89 / $8,296.28	Facility		$543.41	$1,105.89	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.99 / $1,062.47 / $9,877.00	Professional		$575.99	$1,062.47	$9,877.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $330.98 / $1,077.80	Professional		$61.84	$330.98	$1,077.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $543.41 / $738.56 / $1,277.58	Facility		$543.41	$738.56	$1,277.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,114.75 / $1,358.28 / $2,027.64	Professional		$1,114.75	$1,358.28	$2,027.64
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 $1,041.81 / $2,637.95 / $9,877.00	Professional		$1,041.81	$2,637.95	$9,877.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.49 / $1,790.49 / $1,790.49	Professional		$1,790.49	$1,790.49	$1,790.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $966.35 / $2,743.91 / $3,543.76	Professional		$966.35	$2,743.91	$3,543.76
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 $575.99 / $1,062.47 / $2,360.91	Professional		$575.99	$1,062.47	$2,360.91