Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.66 / $1,183.30 / $14,482.00	Facility		$559.66	$1,183.30	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.77 / $588.74 / $2,108.90	Professional		$487.77	$588.74	$2,108.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.04 / $1,291.55 / $3,280.17	Professional		$543.04	$1,291.55	$3,280.17
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 $1,498.56 / $1,751.19 / $2,686.37	Facility		$1,498.56	$1,751.19	$2,686.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.90 / $2,290.87 / $2,603.26	Professional		$847.90	$2,290.87	$2,603.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $559.66 / $739.20 / $1,314.78	Facility		$559.66	$739.20	$1,314.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $559.66 / $1,135.41 / $14,246.00	Facility		$559.66	$1,135.41	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $622.91 / $1,146.32 / $4,270.39	Professional		$622.91	$1,146.32	$4,270.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $351.22 / $1,118.68	Professional		$66.47	$351.22	$1,118.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $559.66 / $739.20 / $1,314.78	Facility		$559.66	$739.20	$1,314.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,147.25 / $1,397.88 / $2,086.76	Professional		$1,147.25	$1,397.88	$2,086.76
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 $1,071.80 / $2,718.35 / $4,270.39	Professional		$1,071.80	$2,718.35	$4,270.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,844.62 / $1,844.62 / $1,844.62	Professional		$1,844.62	$1,844.62	$1,844.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $895.29 / $2,826.39 / $3,645.84	Professional		$895.29	$2,826.39	$3,645.84
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.30 / $1,142.34 / $2,473.69	Professional		$593.30	$1,142.34	$2,473.69