Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.73 / $1,051.52 / $14,482.00	Facility		$503.73	$1,051.52	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.68 / $520.91 / $1,986.19	Professional		$468.68	$520.91	$1,986.19
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 $448.41 / $1,101.18 / $3,091.43	Professional		$448.41	$1,101.18	$3,091.43
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 $1,351.68 / $1,579.55 / $2,423.06	Facility		$1,351.68	$1,579.55	$2,423.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.71 / $2,150.37 / $2,571.48	Professional		$741.71	$2,150.37	$2,571.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $491.86 / $627.77 / $1,168.34	Facility		$491.86	$627.77	$1,168.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $502.22 / $929.56 / $5,639.00	Facility		$502.22	$929.56	$5,639.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $504.17 / $935.00 / $3,805.36	Professional		$504.17	$935.00	$3,805.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $294.30 / $941.95	Professional		$61.84	$294.30	$941.95
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $491.86 / $627.77 / $1,168.34	Facility		$491.86	$627.77	$1,168.34
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,013.35 / $1,234.73 / $1,843.21	Professional		$1,013.35	$1,234.73	$1,843.21
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 $960.40 / $2,320.55 / $3,805.36	Professional		$960.40	$2,320.55	$3,805.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,669.25 / $1,669.25 / $1,669.25	Professional		$1,669.25	$1,669.25	$1,669.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.06 / $2,511.34 / $3,266.84	Professional		$1,317.06	$2,511.34	$3,266.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.17 / $928.22 / $2,042.08	Professional		$504.17	$928.22	$2,042.08