Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.56 / $1,034.96 / $14,482.00	Facility		$491.56	$1,034.96	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.84 / $504.31 / $2,141.19	Professional		$465.84	$504.31	$2,141.19
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 $433.63 / $1,087.66 / $2,884.70	Professional		$433.63	$1,087.66	$2,884.70
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 $1,329.15 / $1,553.22 / $2,382.67	Facility		$1,329.15	$1,553.22	$2,382.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $723.94 / $2,013.62 / $2,288.19	Professional		$723.94	$2,013.62	$2,288.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $459.98 / $588.77 / $1,042.10	Facility		$459.98	$588.77	$1,042.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $894.45 / $8,384.00	Facility		$462.00	$894.45	$8,384.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $485.41 / $900.38 / $3,723.76	Professional		$485.41	$900.38	$3,723.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $290.53 / $938.82	Professional		$50.00	$290.53	$938.82
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $459.98 / $575.13 / $1,042.10	Facility		$459.98	$575.13	$1,042.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $994.50 / $1,211.76 / $1,752.88	Professional		$994.50	$1,211.76	$1,752.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12,500.00 / $12,500.00 / $34,505.50	Facility		$12,500.00	$12,500.00	$34,505.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $942.08 / $2,239.75 / $3,723.76	Professional		$942.08	$2,239.75	$3,723.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,622.25 / $1,622.25 / $1,622.25	Professional		$1,622.25	$1,622.25	$1,622.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.72 / $2,429.65 / $3,204.53	Professional		$1,293.72	$2,429.65	$3,204.53
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 $485.41 / $876.33 / $2,038.17	Professional		$485.41	$876.33	$2,038.17