Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.08 / $1,305.43 / $14,482.00	Facility		$598.08	$1,305.43	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.55 / $601.96 / $2,928.47	Professional		$573.55	$601.96	$2,928.47
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 $620.03 / $1,380.18 / $3,722.78	Professional		$620.03	$1,380.18	$3,722.78
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 $1,629.23 / $1,903.88 / $2,920.60	Facility		$1,629.23	$1,903.88	$2,920.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.13 / $2,500.05 / $2,840.96	Professional		$903.13	$2,500.05	$2,840.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $598.08 / $873.52 / $1,321.76	Facility		$598.08	$873.52	$1,321.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $598.08 / $1,247.41 / $8,384.00	Facility		$598.08	$1,247.41	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $696.37 / $1,320.94 / $4,751.88	Professional		$696.37	$1,320.94	$4,751.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $377.58 / $1,219.80	Professional		$66.47	$377.58	$1,219.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $598.08 / $873.52 / $1,321.76	Facility		$598.08	$873.52	$1,321.76
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,244.09 / $1,515.89 / $2,262.92	Professional		$1,244.09	$1,515.89	$2,262.92
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9,143.35 / $9,143.35 / $25,239.65	Facility		$9,143.35	$9,143.35	$25,239.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,169.66 / $3,063.25 / $4,751.88	Professional		$1,169.66	$3,063.25	$4,751.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,996.80 / $1,996.80 / $1,996.80	Professional		$1,996.80	$1,996.80	$1,996.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,888.42 / $3,549.41 / $3,978.64	Professional		$1,888.42	$3,549.41	$3,978.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,918.00 / $6,477.00 / $8,384.00	Facility		$4,918.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.41 / $1,245.61 / $2,805.94	Professional		$666.41	$1,245.61	$2,805.94