Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.14 / $1,023.19 / $8,243.00	Facility		$483.14	$1,023.19	$8,243.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.74 / $652.88 / $2,590.50	Professional		$471.74	$652.88	$2,590.50
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 $612.04 / $1,114.93 / $3,153.50	Professional		$612.04	$1,114.93	$3,153.50
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 $1,759.89 / $2,056.57 / $3,154.83	Facility		$1,759.89	$2,056.57	$3,154.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $790.99 / $1,909.96 / $3,047.08	Professional		$790.99	$1,909.96	$3,047.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $483.14 / $727.60 / $1,357.90	Facility		$483.14	$727.60	$1,357.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.89 / $914.30 / $7,318.00	Facility		$490.89	$914.30	$7,318.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $735.49 / $1,508.91 / $4,950.00	Professional		$735.49	$1,508.91	$4,950.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $389.42 / $1,275.68	Professional		$66.47	$389.42	$1,275.68
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $483.14 / $724.71 / $1,357.90	Facility		$483.14	$724.71	$1,357.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,077.14 / $1,548.30 / $2,220.30	Professional		$1,077.14	$1,548.30	$2,220.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,301.60 / $2,301.60 / $3,244.77	Facility		$2,301.60	$2,301.60	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,036.25 / $2,822.67 / $4,950.00	Professional		$1,036.25	$2,822.67	$4,950.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,603.35 / $1,603.35 / $2,170.32	Professional		$1,603.35	$1,603.35	$2,170.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.79 / $3,159.92 / $4,267.31	Professional		$1,905.79	$3,159.92	$4,267.31
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 $703.45 / $1,314.86 / $3,017.85	Professional		$703.45	$1,314.86	$3,017.85