Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.89 / $1,228.68 / $14,482.00	Facility		$580.89	$1,228.68	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $555.73 / $611.45 / $2,703.76	Professional		$555.73	$611.45	$2,703.76
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 $565.66 / $1,340.51 / $3,561.38	Professional		$565.66	$1,340.51	$3,561.38
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 $1,555.33 / $1,817.53 / $2,788.14	Facility		$1,555.33	$1,817.53	$2,788.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $920.83 / $2,378.76 / $2,703.14	Professional		$920.83	$2,378.76	$2,703.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $580.89 / $832.10 / $1,365.20	Facility		$580.89	$832.10	$1,365.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $580.89 / $1,189.09 / $11,598.00	Facility		$580.89	$1,189.09	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.74 / $1,225.85 / $4,436.08	Professional		$648.74	$1,225.85	$4,436.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $358.17 / $1,135.19	Professional		$66.47	$358.17	$1,135.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $580.89 / $832.10 / $1,365.20	Facility		$580.89	$832.10	$1,365.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,191.45 / $1,451.74 / $2,167.16	Professional		$1,191.45	$1,451.74	$2,167.16
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 $1,112.91 / $2,828.20 / $4,436.08	Professional		$1,112.91	$2,828.20	$4,436.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,916.46 / $1,916.46 / $1,916.46	Professional		$1,916.46	$1,916.46	$1,916.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,364.26 / $2,938.95 / $3,785.61	Professional		$1,364.26	$2,938.95	$3,785.61
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 $647.16 / $1,153.91 / $2,573.66	Professional		$647.16	$1,153.91	$2,573.66