Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.35 / $1,269.16 / $14,482.00	Facility		$599.35	$1,269.16	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.00 / $627.37 / $2,784.25	Professional		$573.00	$627.37	$2,784.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,692.00 / $13,743.77 / $21,606.00	Facility		$5,692.00	$13,743.77	$21,606.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.79 / $1,383.11 / $3,669.84	Professional		$582.79	$1,383.11	$3,669.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,560.77 / $7,560.77 / $7,560.77	Facility		$7,560.77	$7,560.77	$7,560.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,607.60 / $1,878.61 / $2,881.83	Facility		$1,607.60	$1,878.61	$2,881.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.43 / $2,456.48 / $2,791.46	Professional		$909.43	$2,456.48	$2,791.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $599.35 / $771.60 / $1,324.56	Facility		$599.35	$771.60	$1,324.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $599.35 / $1,214.07 / $11,598.00	Facility		$599.35	$1,214.07	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $635.90 / $1,172.77 / $4,578.08	Professional		$635.90	$1,172.77	$4,578.08
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 $599.35 / $767.05 / $1,324.56	Facility		$599.35	$767.05	$1,324.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,229.80 / $1,498.46 / $2,236.91	Professional		$1,229.80	$1,498.46	$2,236.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,149.29 / $2,912.40 / $4,578.08	Professional		$1,149.29	$2,912.40	$4,578.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,974.81 / $1,974.81 / $1,974.81	Professional		$1,974.81	$1,974.81	$1,974.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,753.88 / $3,027.26 / $3,909.41	Professional		$1,753.88	$3,027.26	$3,909.41
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 $636.40 / $1,172.77 / $2,650.28	Professional		$636.40	$1,172.77	$2,650.28