Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.24 / $1,237.75 / $14,482.00	Facility		$585.24	$1,237.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.75 / $611.83 / $2,721.78	Professional		$559.75	$611.83	$2,721.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,139.00 / $13,743.77 / $21,606.00	Facility		$8,139.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.42 / $1,350.55 / $3,586.32	Professional		$568.42	$1,350.55	$3,586.32
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 $1,567.95 / $1,832.27 / $2,810.75	Facility		$1,567.95	$1,832.27	$2,810.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.74 / $2,397.84 / $2,724.81	Professional		$886.74	$2,397.84	$2,724.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $584.92 / $754.29 / $1,251.84	Facility		$584.92	$754.29	$1,251.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $585.24 / $1,182.74 / $11,598.00	Facility		$585.24	$1,182.74	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $632.25 / $1,155.51 / $4,470.47	Professional		$632.25	$1,155.51	$4,470.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $358.17 / $1,135.19	Professional		$66.47	$358.17	$1,135.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $584.92 / $744.70 / $1,251.84	Facility		$584.92	$744.70	$1,251.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,199.90 / $1,462.03 / $2,182.53	Professional		$1,199.90	$1,462.03	$2,182.53
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 $1,121.83 / $2,847.05 / $4,470.47	Professional		$1,121.83	$2,847.05	$4,470.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,929.87 / $1,929.87 / $1,929.87	Professional		$1,929.87	$1,929.87	$1,929.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,695.33 / $2,957.90 / $3,815.97	Professional		$1,695.33	$2,957.90	$3,815.97
United Facility/Professional Facility Modifier Low / Median / High Price $5,660.81 / $9,158.00 / $12,062.00	Facility		$5,660.81	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $621.82 / $1,138.82 / $2,599.36	Professional		$621.82	$1,138.82	$2,599.36