Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.95 / $1,165.93 / $14,482.00	Facility		$547.95	$1,165.93	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.25 / $565.07 / $2,213.02	Professional		$467.25	$565.07	$2,213.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.15 / $1,264.49 / $3,200.23	Professional		$527.15	$1,264.49	$3,200.23
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 $1,479.64 / $1,729.08 / $2,652.45	Facility		$1,479.64	$1,729.08	$2,652.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.27 / $2,380.87 / $2,822.68	Professional		$828.27	$2,380.87	$2,822.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $518.19 / $650.03 / $1,165.93	Facility		$518.19	$650.03	$1,165.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $518.19 / $1,094.16 / $5,261.00	Facility		$518.19	$1,094.16	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $573.10 / $1,059.08 / $4,185.35	Professional		$573.10	$1,059.08	$4,185.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $330.75 / $1,052.55	Professional		$61.84	$330.75	$1,052.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $518.19 / $641.10 / $1,165.93	Facility		$518.19	$641.10	$1,165.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,126.45 / $1,372.54 / $2,048.92	Professional		$1,126.45	$1,372.54	$2,048.92
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 $1,054.21 / $2,634.55 / $4,185.35	Professional		$1,054.21	$2,634.55	$4,185.35
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,799.68 / $1,799.68 / $1,799.68	Professional		$1,799.68	$1,799.68	$1,799.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.18 / $2,786.81 / $3,585.95	Professional		$1,588.18	$2,786.81	$3,585.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $4,092.17 / $5,865.00	Facility		$2,723.00	$4,092.17	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.10 / $1,140.42 / $2,413.25	Professional		$573.10	$1,140.42	$2,413.25