Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.47 / $1,250.23 / $14,482.00	Facility		$591.47	$1,250.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.84 / $618.24 / $2,752.32	Professional		$565.84	$618.24	$2,752.32
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 $575.41 / $1,184.10 / $3,835.33	Professional		$575.41	$1,184.10	$3,835.33
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 $1,583.27 / $1,850.17 / $2,838.21	Facility		$1,583.27	$1,850.17	$2,838.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.31 / $2,541.21 / $3,033.08	Professional		$895.31	$2,541.21	$3,033.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $591.47 / $828.06 / $1,389.15	Facility		$591.47	$828.06	$1,389.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $591.47 / $1,209.07 / $11,598.00	Facility		$591.47	$1,209.07	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $654.28 / $1,207.60 / $5,231.39	Professional		$654.28	$1,207.60	$5,231.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $358.17 / $1,135.19	Professional		$66.47	$358.17	$1,135.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $591.47 / $828.06 / $1,389.15	Facility		$591.47	$828.06	$1,389.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,212.90 / $1,477.87 / $2,206.17	Professional		$1,212.90	$1,477.87	$2,206.17
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 $1,132.81 / $2,879.00 / $5,231.39	Professional		$1,132.81	$2,879.00	$5,231.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,953.03 / $1,953.03 / $1,953.03	Professional		$1,953.03	$1,953.03	$1,953.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,721.97 / $3,033.29 / $3,853.32	Professional		$1,721.97	$3,033.29	$3,853.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $657.64 / $1,117.05 / $2,571.06	Professional		$657.64	$1,117.05	$2,571.06