Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.34 / $1,053.90 / $14,482.00	Facility		$497.34	$1,053.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.57 / $522.47 / $1,990.70	Professional		$475.57	$522.47	$1,990.70
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 $483.72 / $1,147.72 / $3,046.27	Professional		$483.72	$1,147.72	$3,046.27
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 $1,333.66 / $1,558.48 / $2,390.76	Facility		$1,333.66	$1,558.48	$2,390.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $754.58 / $2,038.32 / $2,316.28	Professional		$754.58	$2,038.32	$2,316.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $497.34 / $720.00 / $1,485.22	Facility		$497.34	$720.00	$1,485.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $497.34 / $1,040.71 / $14,246.00	Facility		$497.34	$1,040.71	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $555.90 / $1,062.08 / $4,644.56	Professional		$555.90	$1,062.08	$4,644.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $304.44 / $977.39	Professional		$61.84	$304.44	$977.39
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $497.34 / $720.00 / $1,485.22	Facility		$497.34	$720.00	$1,485.22
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,022.45 / $1,245.82 / $1,859.76	Professional		$1,022.45	$1,245.82	$1,859.76
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 $953.63 / $2,424.85 / $4,644.56	Professional		$953.63	$2,424.85	$4,644.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,639.27 / $1,639.27 / $1,639.27	Professional		$1,639.27	$1,639.27	$1,639.27
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,620.35 / $2,515.75 / $3,243.88	Professional		$1,620.35	$2,515.75	$3,243.88
United Facility/Professional Facility Modifier Low / Median / High Price $8,296.28 / $11,891.00 / $15,090.00	Facility		$8,296.28	$11,891.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.21 / $1,022.33 / $2,206.61	Professional		$554.21	$1,022.33	$2,206.61