Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.23 / $1,179.65 / $14,482.00	Facility		$557.23	$1,179.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.67 / $583.30 / $2,585.12	Professional		$532.67	$583.30	$2,585.12
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 $541.08 / $1,114.46 / $3,263.52	Professional		$541.08	$1,114.46	$3,263.52
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 $1,494.06 / $1,745.92 / $2,678.29	Facility		$1,494.06	$1,745.92	$2,678.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.56 / $2,282.41 / $2,593.65	Professional		$792.56	$2,282.41	$2,593.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $520.24 / $651.96 / $1,190.60	Facility		$520.24	$651.96	$1,190.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.29 / $1,127.22 / $8,296.28	Facility		$524.29	$1,127.22	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $591.00 / $1,148.00 / $4,253.04	Professional		$591.00	$1,148.00	$4,253.04
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 $520.24 / $651.96 / $1,190.60	Facility		$520.24	$651.96	$1,190.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,143.34 / $1,393.13 / $2,079.67	Professional		$1,143.34	$1,393.13	$2,079.67
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 $1,067.83 / $2,704.10 / $4,253.04	Professional		$1,067.83	$2,704.10	$4,253.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,835.29 / $1,835.29 / $1,835.29	Professional		$1,835.29	$1,835.29	$1,835.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $525.80 / $2,812.48 / $3,632.28	Professional		$525.80	$2,812.48	$3,632.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $590.05 / $1,081.64 / $2,460.73	Professional		$590.05	$1,081.64	$2,460.73