Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $692.91 / $1,428.80 / $14,482.00	Facility		$692.91	$1,428.80	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.04 / $706.45 / $3,046.72	Professional		$655.04	$706.45	$3,046.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.75 / $1,542.65 / $4,245.82	Professional		$611.75	$1,542.65	$4,245.82
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 $1,858.11 / $2,171.35 / $3,330.90	Facility		$1,858.11	$2,171.35	$3,330.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.28 / $2,936.36 / $3,517.11	Professional		$1,058.28	$2,936.36	$3,517.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $666.07 / $843.57 / $1,587.55	Facility		$666.07	$843.57	$1,587.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.10 / $1,248.80 / $11,100.00	Facility		$675.10	$1,248.80	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $714.04 / $1,381.35 / $5,180.24	Professional		$714.04	$1,381.35	$5,180.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $402.37 / $1,318.88	Professional		$66.47	$402.37	$1,318.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $666.07 / $843.57 / $1,587.55	Facility		$666.07	$843.57	$1,587.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,369.55 / $1,668.74 / $2,491.11	Professional		$1,369.55	$1,668.74	$2,491.11
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 $1,313.58 / $3,186.95 / $5,180.24	Professional		$1,313.58	$3,186.95	$5,180.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,310.57 / $2,310.57 / $2,310.57	Professional		$2,310.57	$2,310.57	$2,310.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,850.97 / $3,487.21 / $4,468.22	Professional		$1,850.97	$3,487.21	$4,468.22
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 $699.99 / $1,274.78 / $2,900.12	Professional		$699.99	$1,274.78	$2,900.12