Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.55 / $1,248.50 / $14,482.00	Facility		$590.55	$1,248.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.79 / $632.74 / $2,794.34	Professional		$573.79	$632.74	$2,794.34
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 $586.21 / $1,362.84 / $3,526.24	Professional		$586.21	$1,362.84	$3,526.24
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 $1,572.45 / $1,837.54 / $2,818.83	Facility		$1,572.45	$1,837.54	$2,818.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $915.01 / $2,416.13 / $2,745.60	Professional		$915.01	$2,416.13	$2,745.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $554.89 / $720.00 / $1,387.23	Facility		$554.89	$720.00	$1,387.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $563.20 / $1,226.49 / $8,296.28	Facility		$563.20	$1,226.49	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.81 / $1,225.25 / $4,532.47	Professional		$678.81	$1,225.25	$4,532.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $368.53 / $1,183.84	Professional		$65.66	$368.53	$1,183.84
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $554.89 / $720.00 / $1,387.23	Facility		$554.89	$720.00	$1,387.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,225.25 / $1,492.92 / $2,228.64	Professional		$1,225.25	$1,492.92	$2,228.64
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 $1,130.40 / $2,922.95 / $4,532.47	Professional		$1,130.40	$2,922.95	$4,532.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,954.33 / $1,954.33 / $1,954.33	Professional		$1,954.33	$1,954.33	$1,954.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $397.91 / $3,055.98 / $3,845.16	Professional		$397.91	$3,055.98	$3,845.16
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.03 / $1,225.25 / $2,805.04	Professional		$642.03	$1,225.25	$2,805.04