Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.65 / $1,303.18 / $14,482.00	Facility		$614.65	$1,303.18	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.12 / $644.37 / $2,873.45	Professional		$588.12	$644.37	$2,873.45
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 $603.00 / $1,418.41 / $3,774.79	Professional		$603.00	$1,418.41	$3,774.79
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 $1,647.25 / $1,924.94 / $2,952.91	Facility		$1,647.25	$1,924.94	$2,952.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $813.24 / $2,648.59 / $3,156.56	Professional		$813.24	$2,648.59	$3,156.56
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $614.65 / $797.22 / $1,303.18	Facility		$614.65	$797.22	$1,303.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $614.65 / $1,242.58 / $5,261.00	Facility		$614.65	$1,242.58	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $582.60 / $1,210.90 / $4,852.00	Professional		$582.60	$1,210.90	$4,852.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $376.09 / $1,187.41	Professional		$65.66	$376.09	$1,187.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $614.65 / $796.25 / $1,303.18	Facility		$614.65	$796.25	$1,303.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,264.25 / $1,540.44 / $2,299.57	Professional		$1,264.25	$1,540.44	$2,299.57
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 $1,178.93 / $3,005.70 / $4,852.00	Professional		$1,178.93	$3,005.70	$4,852.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,024.70 / $2,024.70 / $2,024.70	Professional		$2,024.70	$2,024.70	$2,024.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,820.39 / $3,198.33 / $4,010.17	Professional		$1,820.39	$3,198.33	$4,010.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,723.00 / $3,912.00 / $5,865.00	Facility		$2,723.00	$3,912.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.60 / $1,202.28 / $2,735.19	Professional		$582.60	$1,202.28	$2,735.19