Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.40 / $1,033.49 / $14,482.00	Facility		$486.40	$1,033.49	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.17 / $505.33 / $2,218.96	Professional		$463.17	$505.33	$2,218.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.17 / $1,122.46 / $2,840.37	Professional		$462.17	$1,122.46	$2,840.37
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 $1,314.73 / $1,536.37 / $2,356.83	Facility		$1,314.73	$1,536.37	$2,356.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.68 / $2,000.75 / $2,273.58	Professional		$731.68	$2,000.75	$2,273.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $464.53 / $614.78 / $1,148.33	Facility		$464.53	$614.78	$1,148.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.40 / $959.31 / $5,261.00	Facility		$486.40	$959.31	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $933.08 / $3,716.08	Professional		$505.25	$933.08	$3,716.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $294.30 / $965.52	Professional		$61.84	$294.30	$965.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $464.53 / $614.78 / $1,148.33	Facility		$464.53	$614.78	$1,148.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $997.10 / $1,214.93 / $1,813.65	Professional		$997.10	$1,214.93	$1,813.65
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 $936.06 / $2,321.10 / $3,716.08	Professional		$936.06	$2,321.10	$3,716.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,597.31 / $1,597.31 / $1,597.31	Professional		$1,597.31	$1,597.31	$1,597.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.90 / $2,433.73 / $3,184.06	Professional		$1,368.90	$2,433.73	$3,184.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $505.25 / $922.76 / $2,119.16	Professional		$505.25	$922.76	$2,119.16