Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.14 / $1,355.33 / $14,482.00	Facility		$641.14	$1,355.33	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.89 / $670.01 / $2,991.80	Professional		$613.89	$670.01	$2,991.80
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 $626.78 / $1,479.57 / $3,762.99	Professional		$626.78	$1,479.57	$3,762.99
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 $1,714.83 / $2,003.92 / $3,074.06	Facility		$1,714.83	$2,003.92	$3,074.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $969.46 / $2,624.57 / $2,982.46	Professional		$969.46	$2,624.57	$2,982.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $641.14 / $903.56 / $1,416.92	Facility		$641.14	$903.56	$1,416.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $641.14 / $1,320.37 / $11,100.00	Facility		$641.14	$1,320.37	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.80 / $1,311.00 / $5,376.00	Professional		$691.80	$1,311.00	$5,376.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $403.94 / $1,306.38	Professional		$66.47	$403.94	$1,306.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $641.14 / $897.60 / $1,416.92	Facility		$641.14	$897.60	$1,416.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,315.60 / $1,603.01 / $2,392.98	Professional		$1,315.60	$1,603.01	$2,392.98
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 $1,227.91 / $3,129.50 / $5,376.00	Professional		$1,227.91	$3,129.50	$5,376.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,116.15 / $2,116.15 / $2,116.15	Professional		$2,116.15	$2,116.15	$2,116.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,896.07 / $3,245.34 / $4,176.85	Professional		$1,896.07	$3,245.34	$4,176.85
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 $692.27 / $1,261.26 / $2,847.85	Professional		$692.27	$1,261.26	$2,847.85