Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.69 / $1,141.24 / $14,482.00	Facility		$537.69	$1,141.24	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.41 / $561.46 / $2,487.69	Professional		$505.41	$561.46	$2,487.69
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 $520.49 / $1,240.82 / $3,158.32	Professional		$520.49	$1,240.82	$3,158.32
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 $1,447.20 / $1,691.17 / $2,594.29	Facility		$1,447.20	$1,691.17	$2,594.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.64 / $2,207.30 / $2,508.30	Professional		$814.64	$2,207.30	$2,508.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $507.22 / $689.06 / $1,141.25	Facility		$507.22	$689.06	$1,141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $536.94 / $1,086.67 / $11,100.00	Facility		$536.94	$1,086.67	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $566.97 / $1,139.76 / $4,107.68	Professional		$566.97	$1,139.76	$4,107.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $330.75 / $1,052.55	Professional		$61.84	$330.75	$1,052.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $507.22 / $683.32 / $1,141.25	Facility		$507.22	$683.32	$1,141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,104.34 / $1,345.61 / $2,008.73	Professional		$1,104.34	$1,345.61	$2,008.73
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 $1,032.70 / $2,602.19 / $4,107.68	Professional		$1,032.70	$2,602.19	$4,107.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.04 / $1,770.04 / $1,770.04	Professional		$1,770.04	$1,770.04	$1,770.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,552.81 / $2,710.10 / $3,512.77	Professional		$1,552.81	$2,710.10	$3,512.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.97 / $1,045.90 / $2,368.00	Professional		$566.97	$1,045.90	$2,368.00