Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.58 / $1,287.10 / $14,482.00	Facility		$607.58	$1,287.10	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.57 / $640.67 / $2,587.00	Professional		$581.57	$640.67	$2,587.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,740.00 / $4,780.00 / $8,456.00	Facility		$2,740.00	$4,780.00	$8,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.38 / $1,402.11 / $3,560.34	Professional		$595.38	$1,402.11	$3,560.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,942.50 / $1,942.50 / $1,942.50	Facility		$1,942.50	$1,942.50	$1,942.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,627.42 / $1,901.77 / $2,917.37	Facility		$1,627.42	$1,901.77	$2,917.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $921.03 / $2,489.78 / $2,829.30	Professional		$921.03	$2,489.78	$2,829.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $607.58 / $833.53 / $1,337.60	Facility		$607.58	$833.53	$1,337.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $607.58 / $1,248.34 / $11,100.00	Facility		$607.58	$1,248.34	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $648.89 / $1,283.23 / $4,645.20	Professional		$648.89	$1,283.23	$4,645.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $371.43 / $1,187.41	Professional		$65.66	$371.43	$1,187.41
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $607.58 / $816.51 / $1,337.60	Facility		$607.58	$816.51	$1,337.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,249.30 / $1,522.22 / $2,272.38	Professional		$1,249.30	$1,522.22	$2,272.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,974.60	Facility		$1,722.47	$1,722.47	$4,974.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,164.84 / $2,969.55 / $4,645.20	Professional		$1,164.84	$2,969.55	$4,645.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,002.19 / $2,002.19 / $2,002.19	Professional		$2,002.19	$2,002.19	$2,002.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,634.27 / $3,074.14 / $3,962.31	Professional		$1,634.27	$3,074.14	$3,962.31
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 $606.25 / $1,163.74 / $2,702.29	Professional		$606.25	$1,163.74	$2,702.29