Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.01 / $1,197.29 / $14,482.00	Facility		$566.01	$1,197.29	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.92 / $591.91 / $2,647.93	Professional		$541.92	$591.91	$2,647.93
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 $554.88 / $1,306.18 / $3,320.15	Professional		$554.88	$1,306.18	$3,320.15
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 $1,513.88 / $1,769.09 / $2,713.83	Facility		$1,513.88	$1,769.09	$2,713.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.47 / $2,317.34 / $2,633.34	Professional		$856.47	$2,317.34	$2,633.34
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $566.01 / $758.60 / $1,250.88	Facility		$566.01	$758.60	$1,250.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $566.01 / $1,164.99 / $8,296.28	Facility		$566.01	$1,164.99	$8,296.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $605.58 / $1,213.17 / $4,325.20	Professional		$605.58	$1,213.17	$4,325.20
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 $566.01 / $733.95 / $1,250.88	Facility		$566.01	$733.95	$1,250.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,162.20 / $1,416.10 / $2,113.94	Professional		$1,162.20	$1,416.10	$2,113.94
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 $1,084.18 / $2,769.80 / $4,325.20	Professional		$1,084.18	$2,769.80	$4,325.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,867.13 / $1,867.13 / $1,867.13	Professional		$1,867.13	$1,867.13	$1,867.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,667.91 / $2,866.24 / $3,687.89	Professional		$1,667.91	$2,866.24	$3,687.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.58 / $1,162.36 / $2,520.52	Professional		$605.58	$1,162.36	$2,520.52