Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.59 / $1,096.84 / $14,482.00	Facility		$517.59	$1,096.84	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.78 / $542.15 / $2,408.55	Professional		$494.78	$542.15	$2,408.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $8,139.00 / $11,136.00	Facility		$5,060.00	$8,139.00	$11,136.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $504.63 / $1,194.45 / $3,158.32	Professional		$504.63	$1,194.45	$3,158.32
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 $1,389.53 / $1,623.77 / $2,490.91	Facility		$1,389.53	$1,623.77	$2,490.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $804.94 / $2,122.84 / $2,412.31	Professional		$804.94	$2,122.84	$2,412.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $517.59 / $775.64 / $1,114.20	Facility		$517.59	$775.64	$1,114.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.59 / $1,048.09 / $11,100.00	Facility		$517.59	$1,048.09	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $574.96 / $1,103.50 / $3,956.88	Professional		$574.96	$1,103.50	$3,956.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.42 / $235.30 / $1,018.03	Professional		$58.42	$235.30	$1,018.03
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $517.59 / $748.80 / $1,114.20	Facility		$517.59	$748.80	$1,114.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,062.75 / $1,294.92 / $1,933.06	Professional		$1,062.75	$1,294.92	$1,933.06
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 $993.18 / $2,519.40 / $3,956.88	Professional		$993.18	$2,519.40	$3,956.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,705.58 / $1,705.58 / $1,705.58	Professional		$1,705.58	$1,705.58	$1,705.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,527.70 / $2,616.34 / $3,378.33	Professional		$1,527.70	$2,616.34	$3,378.33
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.83 / $1,062.09 / $2,307.77	Professional		$566.83	$1,062.09	$2,307.77