Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.78 / $1,413.99 / $14,482.00	Facility		$661.78	$1,413.99	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.39 / $670.71 / $2,670.87	Professional		$625.39	$670.71	$2,670.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,979.00 / $13,743.77 / $21,606.00	Facility		$1,979.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.94 / $1,483.92 / $4,078.21	Professional		$587.94	$1,483.92	$4,078.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,839.19 / $2,149.23 / $3,296.98	Facility		$1,839.19	$2,149.23	$3,296.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $2,907.72 / $3,480.21	Professional		$1,044.00	$2,907.72	$3,480.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $658.49 / $808.23 / $1,571.10	Facility		$658.49	$808.23	$1,571.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $659.40 / $1,194.21 / $5,639.00	Facility		$659.40	$1,194.21	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $687.29 / $1,336.78 / $5,124.56	Professional		$687.29	$1,336.78	$5,124.56
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 $658.49 / $808.23 / $1,571.10	Facility		$658.49	$808.23	$1,571.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,355.25 / $1,651.32 / $2,465.10	Professional		$1,355.25	$1,651.32	$2,465.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,299.81 / $3,061.15 / $5,124.56	Professional		$1,299.81	$3,061.15	$5,124.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,225.42 / $2,225.42 / $2,225.42	Professional		$2,225.42	$2,225.42	$2,225.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $895.29 / $3,331.02 / $4,421.39	Professional		$895.29	$3,331.02	$4,421.39
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 $686.44 / $1,340.78 / $2,851.34	Professional		$686.44	$1,340.78	$2,851.34