Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.48 / $1,307.05 / $14,482.00	Facility		$634.48	$1,307.05	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.30 / $646.30 / $2,780.86	Professional		$599.30	$646.30	$2,780.86
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 $556.21 / $1,409.25 / $3,875.32	Professional		$556.21	$1,409.25	$3,875.32
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 $1,702.22 / $1,989.17 / $3,051.44	Facility		$1,702.22	$1,989.17	$3,051.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.73 / $2,690.11 / $3,218.89	Professional		$912.73	$2,690.11	$3,218.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $634.48 / $871.37 / $1,365.00	Facility		$634.48	$871.37	$1,365.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $634.48 / $1,127.01 / $5,261.00	Facility		$634.48	$1,127.01	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $630.36 / $1,204.00 / $4,738.00	Professional		$630.36	$1,204.00	$4,738.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $383.62 / $1,225.32	Professional		$66.47	$383.62	$1,225.32
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $634.48 / $864.39 / $1,365.00	Facility		$634.48	$864.39	$1,365.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,252.55 / $1,526.18 / $2,278.29	Professional		$1,252.55	$1,526.18	$2,278.29
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 $1,202.20 / $2,908.85 / $4,738.00	Professional		$1,202.20	$2,908.85	$4,738.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.09 / $2,116.09 / $2,116.09	Professional		$2,116.09	$2,116.09	$2,116.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.27 / $3,193.37 / $4,089.36	Professional		$1,634.27	$3,193.37	$4,089.36
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 $628.32 / $1,260.81 / $2,664.51	Professional		$628.32	$1,260.81	$2,664.51