Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.97 / $1,817.89 / $19,624.89	Facility		$478.97	$1,817.89	$19,624.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.88 / $634.23 / $2,266.53	Professional		$456.88	$634.23	$2,266.53
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 $606.77 / $1,105.32 / $3,141.62	Professional		$606.77	$1,105.32	$3,141.62
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 $1,740.96 / $2,034.45 / $3,120.90	Facility		$1,740.96	$2,034.45	$3,120.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.03 / $1,787.52 / $3,003.94	Professional		$705.03	$1,787.52	$3,003.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $453.34 / $686.30 / $1,339.02	Facility		$453.34	$686.30	$1,339.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $453.34 / $798.18 / $7,160.00	Facility		$453.34	$798.18	$7,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $599.39 / $1,423.58 / $4,876.64	Professional		$599.39	$1,423.58	$4,876.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $376.04 / $1,227.49	Professional		$66.47	$376.04	$1,227.49
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $453.34 / $680.77 / $1,339.02	Facility		$453.34	$680.77	$1,339.02
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,077.89 / $1,521.96 / $2,198.94	Professional		$1,077.89	$1,521.96	$2,198.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,312.12 / $2,312.12 / $3,244.77	Facility		$2,312.12	$2,312.12	$3,244.77
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,033.50 / $2,782.71 / $4,876.64	Professional		$1,033.50	$2,782.71	$4,876.64
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.05 / $3,151.48 / $4,206.93	Professional		$1,520.05	$3,151.48	$4,206.93
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 $598.83 / $1,285.71 / $2,945.03	Professional		$598.83	$1,285.71	$2,945.03