Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $1,220.65 / $14,482.00	Facility		$576.29	$1,220.65	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.91 / $603.55 / $2,674.17	Professional		$550.91	$603.55	$2,674.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.03 / $1,329.93 / $3,377.10	Professional		$560.03	$1,329.93	$3,377.10
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 $1,546.32 / $1,807.00 / $2,771.98	Facility		$1,546.32	$1,807.00	$2,771.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $875.10 / $2,362.57 / $2,684.74	Professional		$875.10	$2,362.57	$2,684.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $816.96 / $1,356.28	Facility		$576.29	$816.96	$1,356.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $1,206.08 / $11,100.00	Facility		$576.29	$1,206.08	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $635.80 / $1,125.75 / $9,231.33	Professional		$635.80	$1,125.75	$9,231.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $358.17 / $1,135.19	Professional		$66.47	$358.17	$1,135.19
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $816.96 / $1,356.28	Facility		$576.29	$816.96	$1,356.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,183.00 / $1,441.44 / $2,151.79	Professional		$1,183.00	$1,441.44	$2,151.79
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 $1,105.33 / $2,797.25 / $9,231.33	Professional		$1,105.33	$2,797.25	$9,231.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.14 / $1,899.14 / $1,899.14	Professional		$1,899.14	$1,899.14	$1,899.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.82 / $2,909.29 / $3,759.88	Professional		$1,693.82	$2,909.29	$3,759.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,017.00 / $9,953.00 / $12,705.00	Facility		$4,017.00	$9,953.00	$12,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.75 / $1,125.75 / $2,652.27	Professional		$628.75	$1,125.75	$2,652.27