Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.72 / $1,083.55 / $14,482.00	Facility		$512.72	$1,083.55	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.65 / $535.83 / $2,411.69	Professional		$491.65	$535.83	$2,411.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,169.00 / $8,408.00 / $12,444.00	Facility		$5,169.00	$8,408.00	$12,444.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.48 / $1,183.20 / $3,277.89	Professional		$504.48	$1,183.20	$3,277.89
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 $1,368.80 / $1,599.55 / $2,453.75	Facility		$1,368.80	$1,599.55	$2,453.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $843.18 / $2,097.73 / $2,383.80	Professional		$843.18	$2,097.73	$2,383.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $481.58 / $717.81 / $1,133.10	Facility		$481.58	$717.81	$1,133.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.72 / $1,054.83 / $14,246.00	Facility		$512.72	$1,054.83	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $607.38 / $1,311.80 / $6,371.67	Professional		$607.38	$1,311.80	$6,371.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $325.28 / $996.31	Professional		$65.66	$325.28	$996.31
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $481.58 / $706.27 / $1,133.10	Facility		$481.58	$706.27	$1,133.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,053.65 / $1,283.83 / $1,916.51	Professional		$1,053.65	$1,283.83	$1,916.51
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 $981.44 / $2,836.66 / $6,371.67	Professional		$981.44	$2,836.66	$6,371.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,692.20 / $1,692.20 / $1,692.20	Professional		$1,692.20	$1,692.20	$1,692.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,578.91 / $2,602.06 / $3,338.42	Professional		$1,578.91	$2,602.06	$3,338.42
United Facility/Professional Facility Modifier Low / Median / High Price $6,154.00 / $11,891.00 / $15,090.00	Facility		$6,154.00	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $599.91 / $1,069.85 / $2,310.79	Professional		$599.91	$1,069.85	$2,310.79