Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.27 / $1,108.48 / $14,482.00	Facility		$523.27	$1,108.48	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.81 / $548.10 / $2,131.08	Professional		$499.81	$548.10	$2,131.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.28 / $1,056.35 / $3,067.82	Professional		$506.28	$1,056.35	$3,067.82
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 $1,405.75 / $1,642.73 / $2,519.98	Facility		$1,405.75	$1,642.73	$2,519.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.65 / $2,145.48 / $2,438.05	Professional		$793.65	$2,145.48	$2,438.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $492.66 / $671.88 / $1,156.43	Facility		$492.66	$671.88	$1,156.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $493.79 / $1,056.08 / $5,261.00	Facility		$493.79	$1,056.08	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $568.61 / $1,063.00 / $3,995.68	Professional		$568.61	$1,063.00	$3,995.68
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 $492.66 / $662.76 / $1,156.43	Facility		$492.66	$662.76	$1,156.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,073.80 / $1,308.38 / $1,953.16	Professional		$1,073.80	$1,308.38	$1,953.16
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 $1,003.78 / $2,537.00 / $3,995.68	Professional		$1,003.78	$2,537.00	$3,995.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,725.24 / $1,725.24 / $1,725.24	Professional		$1,725.24	$1,725.24	$1,725.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.89 / $2,642.69 / $3,414.43	Professional		$1,651.89	$2,642.69	$3,414.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.84 / $1,014.96 / $2,323.89	Professional		$566.84	$1,014.96	$2,323.89