Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.54 / $1,189.96 / $14,482.00	Facility		$562.54	$1,189.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.00 / $588.35 / $2,614.46	Professional		$538.00	$588.35	$2,614.46
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 $546.14 / $1,298.19 / $3,297.31	Professional		$546.14	$1,298.19	$3,297.31
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 $1,506.67 / $1,760.67 / $2,700.91	Facility		$1,506.67	$1,760.67	$2,700.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.44 / $2,303.92 / $2,618.09	Professional		$852.44	$2,303.92	$2,618.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $562.54 / $764.60 / $1,196.59	Facility		$562.54	$764.60	$1,196.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $562.54 / $1,137.07 / $11,100.00	Facility		$562.54	$1,137.07	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $608.97 / $1,102.00 / $4,294.80	Professional		$608.97	$1,102.00	$4,294.80
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 $562.54 / $737.90 / $1,196.59	Facility		$562.54	$737.90	$1,196.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,153.75 / $1,405.80 / $2,098.58	Professional		$1,153.75	$1,405.80	$2,098.58
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 $1,077.90 / $2,734.80 / $4,294.80	Professional		$1,077.90	$2,734.80	$4,294.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.26 / $1,854.26 / $1,854.26	Professional		$1,854.26	$1,854.26	$1,854.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.19 / $2,841.83 / $3,666.52	Professional		$1,023.19	$2,841.83	$3,666.52
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 $603.04 / $1,100.63 / $2,684.34	Professional		$603.04	$1,100.63	$2,684.34