Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.59 / $1,084.75 / $14,482.00	Facility		$512.59	$1,084.75	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.31 / $536.36 / $2,363.76	Professional		$489.31	$536.36	$2,363.76
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 $492.27 / $1,182.91 / $3,004.10	Professional		$492.27	$1,182.91	$3,004.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,153.66 / $2,153.66 / $2,153.66	Facility		$2,153.66	$2,153.66	$2,153.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.81 / $1,610.08 / $2,469.91	Facility		$1,377.81	$1,610.08	$2,469.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $737.72 / $2,101.33 / $2,387.88	Professional		$737.72	$2,101.33	$2,387.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.59 / $654.75 / $1,132.82	Facility		$512.59	$654.75	$1,132.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.59 / $1,073.13 / $5,261.00	Facility		$512.59	$1,073.13	$5,261.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $538.48 / $986.93 / $4,480.39	Professional		$538.48	$986.93	$4,480.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $294.30 / $965.52	Professional		$61.81	$294.30	$965.52
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $512.59 / $654.75 / $1,132.82	Facility		$512.59	$654.75	$1,132.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,050.40 / $1,279.86 / $1,910.60	Professional		$1,050.40	$1,279.86	$1,910.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,900.50 / $1,900.50 / $5,246.20	Facility		$1,900.50	$1,900.50	$5,246.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $953.63 / $2,472.55 / $4,480.39	Professional		$953.63	$2,472.55	$4,480.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,689.39 / $1,689.39 / $1,689.39	Professional		$1,689.39	$1,689.39	$1,689.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,434.19 / $2,582.73 / $3,344.16	Professional		$1,434.19	$2,582.73	$3,344.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.82 / $994.00 / $2,250.02	Professional		$538.82	$994.00	$2,250.02