Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.50 / $1,102.32 / $14,482.00	Facility		$516.50	$1,102.32	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.64 / $549.87 / $2,873.86	Professional		$502.64	$549.87	$2,873.86
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 $524.76 / $1,191.92 / $3,178.92	Professional		$524.76	$1,191.92	$3,178.92
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 $1,375.11 / $1,606.92 / $2,465.06	Facility		$1,375.11	$1,606.92	$2,465.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.35 / $2,113.52 / $2,401.73	Professional		$785.35	$2,113.52	$2,401.73
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $516.50 / $723.10 / $1,141.47	Facility		$516.50	$723.10	$1,141.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.50 / $1,082.91 / $11,100.00	Facility		$516.50	$1,082.91	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.13 / $1,083.00 / $3,958.72	Professional		$602.13	$1,083.00	$3,958.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.81 / $317.89 / $1,030.73	Professional		$61.81	$317.89	$1,030.73
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $516.50 / $722.20 / $1,141.47	Facility		$516.50	$722.20	$1,141.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,073.15 / $1,307.58 / $1,951.98	Professional		$1,073.15	$1,307.58	$1,951.98
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 $988.82 / $2,616.50 / $3,958.72	Professional		$988.82	$2,616.50	$3,958.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.36 / $1,715.36 / $1,715.36	Professional		$1,715.36	$1,715.36	$1,715.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,612.44 / $2,682.95 / $3,363.53	Professional		$1,612.44	$2,682.95	$3,363.53
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 $602.13 / $1,054.73 / $2,381.02	Professional		$602.13	$1,054.73	$2,381.02