Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.04 / $1,376.93 / $9,918.50	Facility		$493.04	$1,376.93	$9,918.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.46 / $661.12 / $2,014.24	Professional		$455.46	$661.12	$2,014.24
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 $623.49 / $1,137.79 / $2,890.85	Professional		$623.49	$1,137.79	$2,890.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,971.90 / $2,971.90 / $2,971.90	Facility		$2,971.90	$2,971.90	$2,971.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,776.11 / $2,075.52 / $3,183.90	Facility		$1,776.11	$2,075.52	$3,183.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.17 / $1,834.59 / $3,060.34	Professional		$836.17	$1,834.59	$3,060.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $725.52 / $1,376.93	Facility		$464.00	$725.52	$1,376.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $836.45 / $7,160.00	Facility		$464.00	$836.45	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $729.96 / $1,484.71 / $4,985.76	Professional		$729.96	$1,484.71	$4,985.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $390.68 / $1,293.27	Professional		$66.47	$390.68	$1,293.27
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $711.57 / $1,376.93	Facility		$464.00	$711.57	$1,376.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,138.99 / $1,599.80 / $2,293.37	Professional		$1,138.99	$1,599.80	$2,293.37
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,469.60 / $2,469.60 / $3,002.30	Facility		$2,469.60	$2,469.60	$3,002.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,055.13 / $2,834.96 / $4,985.76	Professional		$1,055.13	$2,834.96	$4,985.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.79 / $3,217.46 / $4,285.91	Professional		$1,555.79	$3,217.46	$4,285.91
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 $701.22 / $1,293.42 / $2,887.69	Professional		$701.22	$1,293.42	$2,887.69