Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.36 / $1,200.02 / $14,482.00	Facility		$565.36	$1,200.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.46 / $593.30 / $2,633.16	Professional		$540.46	$593.30	$2,633.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $7,344.00	Facility		$2,740.00	$4,780.00	$7,344.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.02 / $1,304.68 / $3,309.99	Professional		$552.02	$1,304.68	$3,309.99
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 $1,519.29 / $1,775.41 / $2,723.52	Facility		$1,519.29	$1,775.41	$2,723.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.00 / $2,320.85 / $2,637.33	Professional		$860.00	$2,320.85	$2,637.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $565.36 / $772.83 / $1,333.35	Facility		$565.36	$772.83	$1,333.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $565.36 / $1,185.73 / $7,891.00	Facility		$565.36	$1,185.73	$7,891.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.61 / $1,114.21 / $4,991.29	Professional		$602.61	$1,114.21	$4,991.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $351.22 / $1,118.68	Professional		$66.47	$351.22	$1,118.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $565.36 / $759.76 / $1,333.35	Facility		$565.36	$759.76	$1,333.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,162.84 / $1,416.89 / $2,115.13	Professional		$1,162.84	$1,416.89	$2,115.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,812.08	Facility		$1,722.47	$1,722.47	$4,812.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,085.82 / $2,754.35 / $4,991.29	Professional		$1,085.82	$2,754.35	$4,991.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.40 / $1,861.40 / $1,861.40	Professional		$1,861.40	$1,861.40	$1,861.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,811.90 / $2,855.74 / $3,693.49	Professional		$1,811.90	$2,855.74	$3,693.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.61 / $1,114.21 / $2,586.19	Professional		$602.61	$1,114.21	$2,586.19