Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.35 / $1,270.01 / $14,482.00	Facility		$600.35	$1,270.01	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.36 / $627.83 / $2,796.35	Professional		$574.36	$627.83	$2,796.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $583.35 / $1,385.42 / $3,521.83	Professional		$583.35	$1,385.42	$3,521.83
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 $1,608.50 / $1,879.66 / $2,883.44	Facility		$1,608.50	$1,879.66	$2,883.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $990.39 / $2,459.56 / $2,794.95	Professional		$990.39	$2,459.56	$2,794.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $564.45 / $752.04 / $1,326.77	Facility		$564.45	$752.04	$1,326.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $569.45 / $1,213.57 / $8,296.28	Facility		$569.45	$1,213.57	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $689.84 / $1,295.91 / $5,247.92	Professional		$689.84	$1,295.91	$5,247.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $360.37 / $1,146.06	Professional		$65.66	$360.37	$1,146.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $564.45 / $752.04 / $1,326.77	Facility		$564.45	$752.04	$1,326.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,231.75 / $1,500.84 / $2,240.46	Professional		$1,231.75	$1,500.84	$2,240.46
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 $1,150.71 / $2,925.05 / $5,247.92	Professional		$1,150.71	$2,925.05	$5,247.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,980.54 / $1,980.54 / $1,980.54	Professional		$1,980.54	$1,980.54	$1,980.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,764.78 / $3,038.33 / $3,914.25	Professional		$1,764.78	$3,038.33	$3,914.25
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 $669.25 / $1,250.94 / $2,661.80	Professional		$669.25	$1,250.94	$2,661.80