Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.98 / $1,343.52 / $14,482.00	Facility		$634.98	$1,343.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.66 / $664.35 / $2,957.72	Professional		$607.66	$664.35	$2,957.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.59 / $1,391.62 / $3,892.51	Professional		$617.59	$1,391.62	$3,892.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11,368.08 / $11,368.08 / $11,368.08	Facility		$11,368.08	$11,368.08	$11,368.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,699.51 / $1,986.01 / $3,046.60	Facility		$1,699.51	$1,986.01	$3,046.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.39 / $2,599.61 / $2,954.10	Professional		$961.39	$2,599.61	$2,954.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $634.98 / $895.68 / $1,374.12	Facility		$634.98	$895.68	$1,374.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.98 / $1,283.81 / $11,598.00	Facility		$634.98	$1,283.81	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $689.93 / $1,247.02 / $4,849.28	Professional		$689.93	$1,247.02	$4,849.28
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 $634.98 / $888.97 / $1,374.12	Facility		$634.98	$888.97	$1,374.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,303.90 / $1,588.75 / $2,371.69	Professional		$1,303.90	$1,588.75	$2,371.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,383.59 / $9,383.59 / $25,902.85	Facility		$9,383.59	$9,383.59	$25,902.85
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,216.24 / $3,093.85 / $4,849.28	Professional		$1,216.24	$3,093.85	$4,849.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,094.64 / $2,094.64 / $2,094.64	Professional		$2,094.64	$2,094.64	$2,094.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.99 / $3,210.43 / $4,137.08	Professional		$1,278.99	$3,210.43	$4,137.08
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $680.65 / $1,237.54 / $2,815.40	Professional		$680.65	$1,237.54	$2,815.40