Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $1,122.26 / $14,482.00	Facility		$530.64	$1,122.26	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $530.64 / $2,119.81	Professional		$468.54	$530.64	$2,119.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,586.00 / $21,869.00	Facility		$10,878.00	$14,586.00	$21,869.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.07 / $1,224.56 / $3,250.24	Professional		$516.07	$1,224.56	$3,250.24
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 $1,420.17 / $1,659.58 / $2,545.83	Facility		$1,420.17	$1,659.58	$2,545.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.00 / $2,172.51 / $2,468.76	Professional		$803.00	$2,172.51	$2,468.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $768.40 / $1,379.66	Facility		$530.64	$768.40	$1,379.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $1,107.33 / $15,090.00	Facility		$530.64	$1,107.33	$15,090.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $593.76 / $1,134.81 / $5,224.09	Professional		$593.76	$1,134.81	$5,224.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $325.89 / $1,015.79	Professional		$65.66	$325.89	$1,015.79
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $768.40 / $1,379.66	Facility		$530.64	$768.40	$1,379.66
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,088.75 / $1,326.60 / $1,980.35	Professional		$1,088.75	$1,326.60	$1,980.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,016.42 / $2,590.90 / $5,224.09	Professional		$1,016.42	$2,590.90	$5,224.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,749.05 / $1,749.05 / $1,749.05	Professional		$1,749.05	$1,749.05	$1,749.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,534.79 / $2,685.11 / $3,457.38	Professional		$1,534.79	$2,685.11	$3,457.38
United Facility/Professional Facility Modifier Low / Median / High Price $8,627.00 / $12,373.00 / $15,090.00	Facility		$8,627.00	$12,373.00	$15,090.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.36 / $1,046.45 / $2,357.71	Professional		$582.36	$1,046.45	$2,357.71