Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.94 / $1,492.88 / $14,482.00	Facility		$704.94	$1,492.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.27 / $738.32 / $3,275.45	Professional		$673.27	$738.32	$3,275.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.27 / $1,626.78 / $4,130.24	Professional		$686.27	$1,626.78	$4,130.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,892.35 / $2,211.36 / $3,392.29	Facility		$1,892.35	$2,211.36	$3,392.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,068.88 / $2,888.41 / $3,282.29	Professional		$1,068.88	$2,888.41	$3,282.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $676.22 / $907.63 / $1,658.75	Facility		$676.22	$907.63	$1,658.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.94 / $1,435.80 / $7,891.00	Facility		$704.94	$1,435.80	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $754.06 / $1,378.56 / $5,378.24	Professional		$754.06	$1,378.56	$5,378.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $422.02 / $1,371.06	Professional		$66.47	$422.02	$1,371.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $676.22 / $907.63 / $1,658.75	Facility		$676.22	$907.63	$1,658.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,446.25 / $1,762.20 / $2,630.62	Professional		$1,446.25	$1,762.20	$2,630.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,351.36 / $3,426.20 / $5,378.24	Professional		$1,351.36	$3,426.20	$5,378.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,322.67 / $2,322.67 / $2,322.67	Professional		$2,322.67	$2,322.67	$2,322.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,037.40 / $3,564.59 / $4,596.72	Professional		$1,037.40	$3,564.59	$4,596.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,092.17 / $6,477.00 / $8,384.00	Facility		$4,092.17	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.06 / $1,465.98 / $3,117.84	Professional		$754.06	$1,465.98	$3,117.84