Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.85 / $1,357.11 / $14,482.00	Facility		$640.85	$1,357.11	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.38 / $671.10 / $2,984.82	Professional		$605.38	$671.10	$2,984.82
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 $625.16 / $1,478.88 / $3,759.04	Professional		$625.16	$1,478.88	$3,759.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,715.73 / $2,004.97 / $3,075.67	Facility		$1,715.73	$2,004.97	$3,075.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $971.47 / $2,624.82 / $2,982.75	Professional		$971.47	$2,624.82	$2,982.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $640.85 / $848.32 / $1,507.90	Facility		$640.85	$848.32	$1,507.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $640.85 / $1,311.90 / $11,100.00	Facility		$640.85	$1,311.90	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $681.73 / $1,367.52 / $4,895.60	Professional		$681.73	$1,367.52	$4,895.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $401.29 / $1,306.38	Professional		$66.47	$401.29	$1,306.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $640.85 / $848.32 / $1,507.90	Facility		$640.85	$848.32	$1,507.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,316.90 / $1,604.59 / $2,395.34	Professional		$1,316.90	$1,604.59	$2,395.34
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,228.04 / $3,122.20 / $4,895.60	Professional		$1,228.04	$3,122.20	$4,895.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,113.92 / $2,113.92 / $2,113.92	Professional		$2,113.92	$2,113.92	$2,113.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,879.32 / $3,240.20 / $4,177.26	Professional		$1,879.32	$3,240.20	$4,177.26
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.73 / $1,315.80 / $2,859.94	Professional		$651.73	$1,315.80	$2,859.94