Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.23 / $2,704.02 / $14,482.00	Facility		$719.23	$2,704.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $699.37 / $719.23 / $3,486.63	Professional		$699.37	$719.23	$3,486.63
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 $735.59 / $1,659.77 / $4,456.42	Professional		$735.59	$1,659.77	$4,456.42
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 $1,902.26 / $2,222.94 / $3,410.06	Facility		$1,902.26	$2,222.94	$3,410.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.05 / $2,895.38 / $3,348.84	Professional		$891.05	$2,895.38	$3,348.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $674.32 / $880.00 / $1,524.77	Facility		$674.32	$880.00	$1,524.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $677.46 / $1,078.84 / $8,103.00	Facility		$677.46	$1,078.84	$8,103.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $785.94 / $1,503.88 / $5,501.68	Professional		$785.94	$1,503.88	$5,501.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $435.64 / $1,355.71	Professional		$66.47	$435.64	$1,355.71
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $674.32 / $863.13 / $1,524.77	Facility		$674.32	$863.13	$1,524.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,422.20 / $1,732.90 / $2,586.87	Professional		$1,422.20	$1,732.90	$2,586.87
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 $1,337.40 / $3,647.10 / $5,501.68	Professional		$1,337.40	$3,647.10	$5,501.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,390.29 / $2,390.29 / $2,390.29	Professional		$2,390.29	$2,390.29	$2,390.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,260.98 / $3,806.02 / $4,689.95	Professional		$2,260.98	$3,806.02	$4,689.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,103.00 / $6,477.00 / $8,384.00	Facility		$4,103.00	$6,477.00	$8,384.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.21 / $1,503.88 / $3,257.01	Professional		$774.21	$1,503.88	$3,257.01