Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.34 / $1,425.98 / $14,482.00	Facility		$673.34	$1,425.98	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.45 / $705.39 / $3,130.28	Professional		$644.45	$705.39	$3,130.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.19 / $1,553.87 / $3,942.68	Professional		$653.19	$1,553.87	$3,942.68
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 $1,802.24 / $2,106.06 / $3,230.75	Facility		$1,802.24	$2,106.06	$3,230.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $849.18 / $2,661.83 / $3,133.15	Professional		$849.18	$2,661.83	$3,133.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $673.26 / $867.40 / $1,454.35	Facility		$673.26	$867.40	$1,454.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $673.34 / $1,091.38 / $1,789.00	Facility		$673.34	$1,091.38	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $727.83 / $1,434.17 / $5,142.64	Professional		$727.83	$1,434.17	$5,142.64
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 $673.26 / $853.36 / $1,454.35	Facility		$673.26	$853.36	$1,454.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,384.50 / $1,686.96 / $2,518.30	Professional		$1,384.50	$1,686.96	$2,518.30
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 $1,289.95 / $3,274.35 / $5,142.64	Professional		$1,289.95	$3,274.35	$5,142.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,217.21 / $2,217.21 / $2,217.21	Professional		$2,217.21	$2,217.21	$2,217.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,865.49 / $3,396.65 / $4,387.85	Professional		$1,865.49	$3,396.65	$4,387.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $723.09 / $1,366.58 / $2,989.48	Professional		$723.09	$1,366.58	$2,989.48