Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.25 / $1,181.07 / $14,482.00	Facility		$558.25	$1,181.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.63 / $583.99 / $2,588.51	Professional		$533.63	$583.99	$2,588.51
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 $540.53 / $1,116.50 / $3,269.61	Professional		$540.53	$1,116.50	$3,269.61
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 $1,497.66 / $1,750.14 / $2,684.75	Facility		$1,497.66	$1,750.14	$2,684.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.38 / $2,287.03 / $2,598.90	Professional		$846.38	$2,287.03	$2,598.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $558.25 / $787.38 / $1,183.49	Facility		$558.25	$787.38	$1,183.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $558.25 / $1,127.24 / $11,100.00	Facility		$558.25	$1,127.24	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $596.63 / $1,137.84 / $4,332.49	Professional		$596.63	$1,137.84	$4,332.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $351.22 / $1,118.68	Professional		$66.47	$351.22	$1,118.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $558.25 / $781.55 / $1,183.49	Facility		$558.25	$781.55	$1,183.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,144.65 / $1,394.71 / $2,082.03	Professional		$1,144.65	$1,394.71	$2,082.03
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 $1,070.00 / $2,707.65 / $4,332.49	Professional		$1,070.00	$2,707.65	$4,332.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,838.69 / $1,838.69 / $1,838.69	Professional		$1,838.69	$1,838.69	$1,838.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.19 / $2,816.05 / $3,639.68	Professional		$1,023.19	$2,816.05	$3,639.68
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 $594.88 / $1,162.40 / $2,480.21	Professional		$594.88	$1,162.40	$2,480.21