Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.45 / $1,215.32 / $14,482.00	Facility		$574.45	$1,215.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.52 / $600.79 / $2,674.94	Professional		$549.52	$600.79	$2,674.94
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 $560.63 / $1,325.64 / $3,523.35	Professional		$560.63	$1,325.64	$3,523.35
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 $1,540.01 / $1,799.63 / $2,760.68	Facility		$1,540.01	$1,799.63	$2,760.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.09 / $2,348.16 / $2,674.96	Professional		$870.09	$2,348.16	$2,674.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $574.45 / $861.68 / $1,269.53	Facility		$574.45	$861.68	$1,269.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $574.45 / $1,179.20 / $11,100.00	Facility		$574.45	$1,179.20	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $639.92 / $1,259.11 / $6,452.47	Professional		$639.92	$1,259.11	$6,452.47
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 $574.45 / $861.68 / $1,269.53	Facility		$574.45	$861.68	$1,269.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,178.45 / $1,435.90 / $2,143.51	Professional		$1,178.45	$1,435.90	$2,143.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4,112.64 / $4,112.64 / $11,352.75	Facility		$4,112.64	$4,112.64	$11,352.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,101.32 / $2,798.05 / $6,452.47	Professional		$1,101.32	$2,798.05	$6,452.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.98 / $1,895.98 / $1,895.98	Professional		$1,895.98	$1,895.98	$1,895.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,610.58 / $2,906.82 / $3,746.19	Professional		$1,610.58	$2,906.82	$3,746.19
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 $615.57 / $1,228.51 / $2,657.98	Professional		$615.57	$1,228.51	$2,657.98