Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.35 / $1,190.92 / $14,482.00	Facility		$563.35	$1,190.92	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $578.91 / $2,298.79	Professional		$477.63	$578.91	$2,298.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,287.00 / $13,743.77 / $21,606.00	Facility		$9,287.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.97 / $1,300.03 / $3,395.75	Professional		$545.97	$1,300.03	$3,395.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,507.57 / $1,761.72 / $2,702.52	Facility		$1,507.57	$1,761.72	$2,702.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.94 / $2,305.33 / $2,619.69	Professional		$852.94	$2,305.33	$2,619.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $563.35 / $793.95 / $1,194.30	Facility		$563.35	$793.95	$1,194.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.35 / $1,137.99 / $15,090.00	Facility		$563.35	$1,137.99	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $605.34 / $1,100.66 / $4,297.43	Professional		$605.34	$1,100.66	$4,297.43
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 $563.35 / $788.69 / $1,194.30	Facility		$563.35	$788.69	$1,194.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,155.05 / $1,407.38 / $2,100.94	Professional		$1,155.05	$1,407.38	$2,100.94
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 $1,078.57 / $2,736.65 / $4,297.43	Professional		$1,078.57	$2,736.65	$4,297.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,856.94 / $1,856.94 / $1,856.94	Professional		$1,856.94	$1,856.94	$1,856.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,136.88 / $2,845.34 / $3,668.80	Professional		$1,136.88	$2,845.34	$3,668.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.05 / $1,149.34 / $2,498.56	Professional		$602.05	$1,149.34	$2,498.56