Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $1,314.20 / $14,482.00	Facility		$620.91	$1,314.20	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.19 / $650.94 / $2,874.50	Professional		$593.19	$650.94	$2,874.50
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 $599.66 / $1,432.86 / $4,005.56	Professional		$599.66	$1,432.86	$4,005.56
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 $1,665.27 / $1,946.00 / $2,985.21	Facility		$1,665.27	$1,946.00	$2,985.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.08 / $2,543.21 / $2,890.03	Professional		$1,026.08	$2,543.21	$2,890.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $869.27 / $1,372.21	Facility		$620.91	$869.27	$1,372.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $1,251.46 / $11,598.00	Facility		$620.91	$1,251.46	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $713.21 / $1,353.06 / $5,321.36	Professional		$713.21	$1,353.06	$5,321.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $386.54 / $1,223.77	Professional		$66.47	$386.54	$1,223.77
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $839.52 / $1,372.21	Facility		$620.91	$839.52	$1,372.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,272.70 / $1,550.74 / $2,314.94	Professional		$1,272.70	$1,550.74	$2,314.94
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 $1,189.84 / $3,006.80 / $5,321.36	Professional		$1,189.84	$3,006.80	$5,321.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.96 / $2,046.96 / $2,046.96	Professional		$2,046.96	$2,046.96	$2,046.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,335.83 / $3,132.20 / $4,047.38	Professional		$1,335.83	$3,132.20	$4,047.38
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 $689.29 / $1,297.22 / $2,736.19	Professional		$689.29	$1,297.22	$2,736.19