Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.44 / $1,388.88 / $14,482.00	Facility		$673.44	$1,388.88	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.19 / $685.31 / $2,952.46	Professional		$636.19	$685.31	$2,952.46
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 $591.79 / $1,346.88 / $4,114.43	Professional		$591.79	$1,346.88	$4,114.43
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 $1,808.55 / $2,113.42 / $3,242.06	Facility		$1,808.55	$2,113.42	$3,242.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.42 / $2,856.18 / $3,420.51	Professional		$1,040.42	$2,856.18	$3,420.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $790.12 / $1,427.69	Facility		$630.00	$790.12	$1,427.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $643.70 / $1,204.59 / $5,639.00	Facility		$643.70	$1,204.59	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $687.03 / $1,325.34 / $5,035.04	Professional		$687.03	$1,325.34	$5,035.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $388.54 / $1,275.13	Professional		$66.47	$388.54	$1,275.13
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $787.92 / $1,427.69	Facility		$630.00	$787.92	$1,427.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,331.20 / $1,622.02 / $2,421.35	Professional		$1,331.20	$1,622.02	$2,421.35
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 $1,277.49 / $3,088.35 / $5,035.04	Professional		$1,277.49	$3,088.35	$5,035.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,246.07 / $2,246.07 / $2,246.07	Professional		$2,246.07	$2,246.07	$2,246.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,769.18 / $3,388.25 / $4,345.46	Professional		$1,769.18	$3,388.25	$4,345.46
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 $673.75 / $1,252.90 / $2,810.40	Professional		$673.75	$1,252.90	$2,810.40