Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.13 / $1,470.53 / $14,482.00	Facility		$711.13	$1,470.53	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $672.92 / $726.94 / $3,175.26	Professional		$672.92	$726.94	$3,175.26
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 $640.91 / $1,616.02 / $4,424.85	Professional		$640.91	$1,616.02	$4,424.85
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 $1,896.86 / $2,216.63 / $3,400.36	Facility		$1,896.86	$2,216.63	$3,400.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,113.02 / $3,017.96 / $3,596.04	Professional		$1,113.02	$3,017.96	$3,596.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $880.00 / $1,507.60	Facility		$700.00	$880.00	$1,507.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $711.13 / $1,305.08 / $11,100.00	Facility		$711.13	$1,305.08	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $747.22 / $1,439.63 / $5,300.56	Professional		$747.22	$1,439.63	$5,300.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $404.65 / $1,325.87	Professional		$66.47	$404.65	$1,325.87
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $877.41 / $1,507.60	Facility		$700.00	$877.41	$1,507.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,406.60 / $1,713.89 / $2,558.50	Professional		$1,406.60	$1,713.89	$2,558.50
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 $1,343.06 / $3,321.40 / $5,300.56	Professional		$1,343.06	$3,321.40	$5,300.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,382.16 / $2,382.16 / $2,382.16	Professional		$2,382.16	$2,382.16	$2,382.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,207.94 / $3,671.90 / $4,568.50	Professional		$1,207.94	$3,671.90	$4,568.50
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 $716.38 / $1,328.56 / $3,022.47	Professional		$716.38	$1,328.56	$3,022.47