Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.39 / $1,169.58 / $14,482.00	Facility		$552.39	$1,169.58	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $578.16 / $2,561.94	Professional		$527.91	$578.16	$2,561.94
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 $536.21 / $1,274.74 / $3,383.12	Professional		$536.21	$1,274.74	$3,383.12
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 $1,482.34 / $1,732.23 / $2,657.29	Facility		$1,482.34	$1,732.23	$2,657.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.47 / $2,265.05 / $2,573.92	Professional		$837.47	$2,265.05	$2,573.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $552.39 / $709.78 / $1,171.07	Facility		$552.39	$709.78	$1,171.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $552.39 / $1,117.60 / $11,100.00	Facility		$552.39	$1,117.60	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $589.57 / $1,161.55 / $4,220.39	Professional		$589.57	$1,161.55	$4,220.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $335.37 / $1,077.80	Professional		$66.47	$335.37	$1,077.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $552.39 / $706.90 / $1,171.07	Facility		$552.39	$706.90	$1,171.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,132.95 / $1,380.46 / $2,060.75	Professional		$1,132.95	$1,380.46	$2,060.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,185.43 / $4,185.43 / $11,553.65	Facility		$4,185.43	$4,185.43	$11,553.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,059.71 / $2,679.85 / $4,220.39	Professional		$1,059.71	$2,679.85	$4,220.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.54 / $1,820.54 / $1,820.54	Professional		$1,820.54	$1,820.54	$1,820.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $852.66 / $2,788.54 / $3,604.69	Professional		$852.66	$2,788.54	$3,604.69
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.61 / $1,173.77 / $2,438.66	Professional		$590.61	$1,173.77	$2,438.66