Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.16 / $1,308.33 / $14,482.00	Facility		$619.16	$1,308.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.82 / $646.85 / $2,887.98	Professional		$592.82	$646.85	$2,887.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.96 / $1,428.83 / $3,797.70	Professional		$603.96	$1,428.83	$3,797.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,656.26 / $1,935.47 / $2,969.06	Facility		$1,656.26	$1,935.47	$2,969.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.66 / $2,533.98 / $2,879.53	Professional		$935.66	$2,533.98	$2,879.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $619.16 / $872.22 / $1,365.00	Facility		$619.16	$872.22	$1,365.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $619.16 / $1,268.33 / $8,384.00	Facility		$619.16	$1,268.33	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $692.90 / $1,253.08 / $4,729.04	Professional		$692.90	$1,253.08	$4,729.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $381.78 / $1,224.20	Professional		$65.66	$381.78	$1,224.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $619.16 / $866.82 / $1,365.00	Facility		$619.16	$866.82	$1,365.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,270.09 / $1,547.57 / $2,310.21	Professional		$1,270.09	$1,547.57	$2,310.21
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 $1,185.54 / $3,020.90 / $4,729.04	Professional		$1,185.54	$3,020.90	$4,729.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,043.63 / $2,043.63 / $2,043.63	Professional		$2,043.63	$2,043.63	$2,043.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.50 / $3,135.72 / $4,032.65	Professional		$1,828.50	$3,135.72	$4,032.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.15 / $1,211.76 / $2,767.14	Professional		$691.15	$1,211.76	$2,767.14