Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.82 / $1,275.93 / $14,482.00	Facility		$601.82	$1,275.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $567.26 / $631.00 / $2,795.82	Professional		$567.26	$631.00	$2,795.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.73 / $1,388.81 / $3,527.70	Professional		$585.73	$1,388.81	$3,527.70
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 $1,614.81 / $1,887.03 / $2,894.75	Facility		$1,614.81	$1,887.03	$2,894.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.48 / $2,467.46 / $2,803.94	Professional		$914.48	$2,467.46	$2,803.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $601.82 / $788.98 / $1,290.28	Facility		$601.82	$788.98	$1,290.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $601.82 / $1,219.22 / $11,100.00	Facility		$601.82	$1,219.22	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $655.82 / $1,177.57 / $4,597.92	Professional		$655.82	$1,177.57	$4,597.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $367.79 / $1,140.04	Professional		$66.47	$367.79	$1,140.04
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $601.82 / $774.76 / $1,290.28	Facility		$601.82	$774.76	$1,290.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,236.95 / $1,507.18 / $2,249.92	Professional		$1,236.95	$1,507.18	$2,249.92
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 $1,154.41 / $2,924.50 / $4,597.92	Professional		$1,154.41	$2,924.50	$4,597.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,983.84 / $1,983.84 / $1,983.84	Professional		$1,983.84	$1,983.84	$1,983.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.57 / $3,039.44 / $3,926.84	Professional		$1,250.57	$3,039.44	$3,926.84
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 $607.14 / $1,134.71 / $2,661.30	Professional		$607.14	$1,134.71	$2,661.30