Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.84 / $2,092.26 / $14,482.00	Facility		$555.84	$2,092.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $584.46 / $2,304.00	Professional		$481.19	$584.46	$2,304.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $6,787.00 / $10,517.23	Facility		$1,979.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.84 / $1,282.70 / $3,473.11	Professional		$538.84	$1,282.70	$3,473.11
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 $1,488.65 / $1,739.61 / $2,668.60	Facility		$1,488.65	$1,739.61	$2,668.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $840.11 / $2,388.03 / $2,850.36	Professional		$840.11	$2,388.03	$2,850.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $555.84 / $778.18 / $1,185.15	Facility		$555.84	$778.18	$1,185.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $555.84 / $1,121.78 / $5,639.00	Facility		$555.84	$1,121.78	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $599.46 / $1,130.45 / $4,957.77	Professional		$599.46	$1,130.45	$4,957.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $335.37 / $1,077.80	Professional		$66.47	$335.37	$1,077.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $555.84 / $754.38 / $1,185.15	Facility		$555.84	$754.38	$1,185.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,136.84 / $1,385.21 / $2,067.84	Professional		$1,136.84	$1,385.21	$2,067.84
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 $1,064.56 / $2,694.70 / $4,957.77	Professional		$1,064.56	$2,694.70	$4,957.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,831.38 / $1,831.38 / $1,831.38	Professional		$1,831.38	$1,831.38	$1,831.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,615.10 / $2,853.01 / $3,621.15	Professional		$1,615.10	$2,853.01	$3,621.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,781.00 / $3,827.00 / $6,564.00	Facility		$2,781.00	$3,827.00	$6,564.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.46 / $1,080.98 / $2,586.00	Professional		$599.46	$1,080.98	$2,586.00