Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.13 / $1,247.59 / $14,482.00	Facility		$589.13	$1,247.59	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.47 / $626.82 / $3,151.29	Professional		$552.47	$626.82	$3,151.29
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 $573.51 / $1,359.52 / $3,484.41	Professional		$573.51	$1,359.52	$3,484.41
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 $1,578.76 / $1,844.91 / $2,830.14	Facility		$1,578.76	$1,844.91	$2,830.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.36 / $2,550.88 / $3,021.03	Professional		$885.36	$2,550.88	$3,021.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $589.13 / $850.21 / $1,386.23	Facility		$589.13	$850.21	$1,386.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $589.13 / $1,192.15 / $11,100.00	Facility		$589.13	$1,192.15	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $647.71 / $1,206.11 / $6,307.00	Professional		$647.71	$1,206.11	$6,307.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $352.55 / $1,113.25	Professional		$66.47	$352.55	$1,113.25
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $589.13 / $850.21 / $1,386.23	Facility		$589.13	$850.21	$1,386.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,203.80 / $1,466.78 / $2,189.62	Professional		$1,203.80	$1,466.78	$2,189.62
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 $1,128.29 / $2,864.45 / $6,307.00	Professional		$1,128.29	$2,864.45	$6,307.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.32 / $3,011.61 / $3,837.97	Professional		$1,705.32	$3,011.61	$3,837.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.71 / $1,147.26 / $2,606.65	Professional		$628.71	$1,147.26	$2,606.65