Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.95 / $1,070.91 / $8,243.00	Facility		$504.95	$1,070.91	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.95 / $772.12 / $2,206.59	Professional		$504.95	$772.12	$2,206.59
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 $618.03 / $1,026.57 / $2,952.37	Professional		$618.03	$1,026.57	$2,952.37
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 $2,083.39 / $2,434.61 / $3,734.75	Facility		$2,083.39	$2,434.61	$3,734.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $832.93 / $1,885.38 / $3,570.94	Professional		$832.93	$1,885.38	$3,570.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $504.95 / $803.27 / $1,604.43	Facility		$504.95	$803.27	$1,604.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $529.01 / $903.38 / $7,160.00	Facility		$529.01	$903.38	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $715.27 / $1,399.75 / $5,788.32	Professional		$715.27	$1,399.75	$5,788.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $462.32 / $1,468.57	Professional		$84.56	$462.32	$1,468.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $504.95 / $803.27 / $1,604.43	Facility		$504.95	$803.27	$1,604.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,217.10 / $1,767.32 / $2,617.51	Professional		$1,217.10	$1,767.32	$2,617.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,452.23 / $2,452.23 / $7,213.88	Facility		$2,452.23	$2,452.23	$7,213.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,033.69 / $3,307.95 / $5,788.32	Professional		$1,033.69	$3,307.95	$5,788.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,662.77 / $1,662.77 / $2,563.02	Professional		$1,662.77	$1,662.77	$2,563.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,870.87 / $3,295.34 / $5,000.96	Professional		$1,870.87	$3,295.34	$5,000.96
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 $715.27 / $1,312.76 / $2,793.16	Professional		$715.27	$1,312.76	$2,793.16