Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.49 / $1,083.09 / $14,482.00	Facility		$511.49	$1,083.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.44 / $535.63 / $2,367.10	Professional		$488.44	$535.63	$2,367.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.04 / $1,031.41 / $3,130.56	Professional		$494.04	$1,031.41	$3,130.56
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 $1,374.21 / $1,605.87 / $2,463.44	Facility		$1,374.21	$1,605.87	$2,463.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.47 / $2,097.27 / $2,383.26	Professional		$846.47	$2,097.27	$2,383.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $511.49 / $767.24 / $1,130.39	Facility		$511.49	$767.24	$1,130.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $511.49 / $1,071.08 / $11,100.00	Facility		$511.49	$1,071.08	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $586.98 / $1,136.60 / $4,922.89	Professional		$586.98	$1,136.60	$4,922.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $316.93 / $1,015.79	Professional		$61.84	$316.93	$1,015.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $511.49 / $767.24 / $1,130.39	Facility		$511.49	$767.24	$1,130.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,049.09 / $1,278.29 / $1,908.23	Professional		$1,049.09	$1,278.29	$1,908.23
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 $981.22 / $2,476.05 / $4,922.89	Professional		$981.22	$2,476.05	$4,922.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,684.62 / $1,684.62 / $1,684.62	Professional		$1,684.62	$1,684.62	$1,684.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.07 / $2,578.85 / $3,337.66	Professional		$1,614.07	$2,578.85	$3,337.66
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.90 / $1,084.51 / $2,253.21	Professional		$566.90	$1,084.51	$2,253.21