Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.88 / $1,009.37 / $14,482.00	Facility		$475.88	$1,009.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.65 / $499.05 / $2,211.94	Professional		$454.65	$499.05	$2,211.94
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 $462.55 / $1,098.18 / $2,911.10	Professional		$462.55	$1,098.18	$2,911.10
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 $1,278.69 / $1,494.25 / $2,292.21	Facility		$1,278.69	$1,494.25	$2,292.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.32 / $1,952.23 / $2,218.44	Professional		$722.32	$1,952.23	$2,218.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $475.88 / $674.88 / $1,051.69	Facility		$475.88	$674.88	$1,051.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $475.88 / $997.88 / $11,100.00	Facility		$475.88	$997.88	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $521.13 / $1,013.42 / $3,635.84	Professional		$521.13	$1,013.42	$3,635.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $292.35 / $937.90	Professional		$61.84	$292.35	$937.90
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $475.88 / $672.92 / $1,051.69	Facility		$475.88	$672.92	$1,051.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $977.60 / $1,191.17 / $1,778.18	Professional		$977.60	$1,191.17	$1,778.18
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 $913.35 / $2,313.75 / $3,635.84	Professional		$913.35	$2,313.75	$3,635.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,566.54 / $1,566.54 / $1,566.54	Professional		$1,566.54	$1,566.54	$1,566.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.08 / $2,404.08 / $3,106.81	Professional		$1,403.08	$2,404.08	$3,106.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,158.00 / $12,062.00	Facility		$4,240.00	$9,158.00	$12,062.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.80 / $944.01 / $2,199.78	Professional		$518.80	$944.01	$2,199.78