Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.39 / $1,388.77 / $14,482.00	Facility		$656.39	$1,388.77	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.40 / $686.73 / $3,006.19	Professional		$627.40	$686.73	$3,006.19
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 $630.20 / $1,514.74 / $3,996.22	Professional		$630.20	$1,514.74	$3,996.22
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 $1,758.99 / $2,055.51 / $3,153.21	Facility		$1,758.99	$2,055.51	$3,153.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.63 / $2,688.05 / $3,054.60	Professional		$1,079.63	$2,688.05	$3,054.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $826.89 / $1,410.75	Facility		$628.00	$826.89	$1,410.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $1,317.55 / $11,598.00	Facility		$628.00	$1,317.55	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $720.36 / $1,362.97 / $5,539.88	Professional		$720.36	$1,362.97	$5,539.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $401.29 / $1,306.38	Professional		$66.47	$401.29	$1,306.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $628.00 / $819.00 / $1,410.75	Facility		$628.00	$819.00	$1,410.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,346.15 / $1,640.23 / $2,448.54	Professional		$1,346.15	$1,640.23	$2,448.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,257.61 / $3,144.55 / $5,539.88	Professional		$1,257.61	$3,144.55	$5,539.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,163.91 / $2,163.91 / $2,163.91	Professional		$2,163.91	$2,163.91	$2,163.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.19 / $3,312.12 / $4,277.89	Professional		$1,023.19	$3,312.12	$4,277.89
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 $686.06 / $1,282.98 / $2,861.54	Professional		$686.06	$1,282.98	$2,861.54