Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.25 / $1,036.51 / $14,482.00	Facility		$489.25	$1,036.51	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.97 / $511.98 / $2,260.94	Professional		$466.97	$511.98	$2,260.94
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 $470.25 / $978.50 / $2,994.10	Professional		$470.25	$978.50	$2,994.10
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 $1,315.64 / $1,537.42 / $2,358.44	Facility		$1,315.64	$1,537.42	$2,358.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.61 / $2,006.13 / $2,279.69	Professional		$759.61	$2,006.13	$2,279.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $489.25 / $701.96 / $1,081.24	Facility		$489.25	$701.96	$1,081.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.25 / $989.10 / $11,598.00	Facility		$489.25	$989.10	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $541.88 / $990.81 / $4,139.31	Professional		$541.88	$990.81	$4,139.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $294.30 / $946.75	Professional		$61.84	$294.30	$946.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $489.25 / $691.01 / $1,081.24	Facility		$489.25	$691.01	$1,081.24
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,002.95 / $1,222.06 / $1,824.29	Professional		$1,002.95	$1,222.06	$1,824.29
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 $938.59 / $2,365.00 / $4,139.31	Professional		$938.59	$2,365.00	$4,139.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,611.21 / $1,611.21 / $1,611.21	Professional		$1,611.21	$1,611.21	$1,611.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $852.66 / $2,466.08 / $3,192.63	Professional		$852.66	$2,466.08	$3,192.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,837.00 / $12,631.00	Facility		$4,240.00	$9,837.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.27 / $953.68 / $2,152.15	Professional		$534.27	$953.68	$2,152.15