Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.46 / $1,312.45 / $14,482.00	Facility		$619.46	$1,312.45	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.57 / $648.94 / $2,479.07	Professional		$546.57	$648.94	$2,479.07
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 $608.48 / $1,429.52 / $3,647.06	Professional		$608.48	$1,429.52	$3,647.06
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 $1,658.96 / $1,938.63 / $2,973.91	Facility		$1,658.96	$1,938.63	$2,973.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $938.69 / $2,538.81 / $2,885.01	Professional		$938.69	$2,538.81	$2,885.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $619.46 / $896.54 / $1,610.60	Facility		$619.46	$896.54	$1,610.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $619.46 / $1,294.67 / $11,100.00	Facility		$619.46	$1,294.67	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $681.33 / $1,327.32 / $5,110.16	Professional		$681.33	$1,327.32	$5,110.16
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 $619.46 / $896.54 / $1,610.60	Facility		$619.46	$896.54	$1,610.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,274.00 / $1,552.32 / $2,317.31	Professional		$1,274.00	$1,552.32	$2,317.31
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 $1,187.81 / $3,030.40 / $5,110.16	Professional		$1,187.81	$3,030.40	$5,110.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.68 / $2,041.68 / $2,041.68	Professional		$2,041.68	$2,041.68	$2,041.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,043.01 / $3,136.14 / $4,040.40	Professional		$2,043.01	$3,136.14	$4,040.40
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 $670.19 / $1,282.27 / $2,757.66	Professional		$670.19	$1,282.27	$2,757.66