Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.37 / $1,159.83 / $14,482.00	Facility		$548.37	$1,159.83	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.21 / $573.35 / $2,543.96	Professional		$524.21	$573.35	$2,543.96
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 $531.89 / $1,102.57 / $3,422.71	Professional		$531.89	$1,102.57	$3,422.71
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 $1,469.73 / $1,717.49 / $2,634.68	Facility		$1,469.73	$1,717.49	$2,634.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.25 / $2,245.98 / $2,552.26	Professional		$905.25	$2,245.98	$2,552.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $548.37 / $773.22 / $1,288.70	Facility		$548.37	$773.22	$1,288.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $548.37 / $1,108.28 / $11,100.00	Facility		$548.37	$1,108.28	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $631.36 / $1,221.53 / $5,317.68	Professional		$631.36	$1,221.53	$5,317.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $335.37 / $1,077.80	Professional		$66.47	$335.37	$1,077.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $548.37 / $773.22 / $1,288.70	Facility		$548.37	$773.22	$1,288.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,123.84 / $1,369.37 / $2,044.20	Professional		$1,123.84	$1,369.37	$2,044.20
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 $1,050.79 / $2,661.05 / $5,317.68	Professional		$1,050.79	$2,661.05	$5,317.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,807.13 / $1,807.13 / $1,807.13	Professional		$1,807.13	$1,807.13	$1,807.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $937.93 / $2,769.59 / $3,574.33	Professional		$937.93	$2,769.59	$3,574.33
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 $609.71 / $1,165.54 / $2,421.56	Professional		$609.71	$1,165.54	$2,421.56