Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $2,008.89 / $14,482.00	Facility		$546.85	$2,008.89	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $548.32 / $2,348.00	Professional		$434.97	$548.32	$2,348.00
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 $472.25 / $1,189.83 / $3,293.20	Professional		$472.25	$1,189.83	$3,293.20
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 $1,469.73 / $1,717.49 / $2,634.68	Facility		$1,469.73	$1,717.49	$2,634.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.50 / $2,326.46 / $2,771.54	Professional		$852.50	$2,326.46	$2,771.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $500.97 / $641.24 / $1,252.43	Facility		$500.97	$641.24	$1,252.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.97 / $950.41 / $5,261.00	Facility		$500.97	$950.41	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $552.87 / $1,078.50 / $4,064.08	Professional		$552.87	$1,078.50	$4,064.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $325.58 / $1,056.75	Professional		$50.00	$325.58	$1,056.75
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $500.97 / $641.24 / $1,252.43	Facility		$500.97	$641.24	$1,252.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,073.80 / $1,308.38 / $1,953.16	Professional		$1,073.80	$1,308.38	$1,953.16
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 $1,035.10 / $2,471.85 / $4,064.08	Professional		$1,035.10	$2,471.85	$4,064.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.19 / $2,741.81 / $3,521.00	Professional		$1,023.19	$2,741.81	$3,521.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.80 / $1,003.14 / $2,249.38	Professional		$543.80	$1,003.14	$2,249.38