Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.94 / $1,051.90 / $14,482.00	Facility		$494.94	$1,051.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.56 / $515.54 / $2,275.52	Professional		$471.56	$515.54	$2,275.52
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 $476.40 / $1,034.97 / $2,885.67	Professional		$476.40	$1,034.97	$2,885.67
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 $1,336.36 / $1,561.64 / $2,395.60	Facility		$1,336.36	$1,561.64	$2,395.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.69 / $2,034.00 / $2,311.36	Professional		$746.69	$2,034.00	$2,311.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $467.51 / $601.88 / $1,051.90	Facility		$467.51	$601.88	$1,051.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.51 / $877.65 / $11,100.00	Facility		$467.51	$877.65	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $515.26 / $1,017.77 / $3,778.48	Professional		$515.26	$1,017.77	$3,778.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $308.66 / $1,009.88	Professional		$61.84	$308.66	$1,009.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $467.51 / $601.88 / $1,051.90	Facility		$467.51	$601.88	$1,051.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,015.95 / $1,237.90 / $1,847.93	Professional		$1,015.95	$1,237.90	$1,847.93
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 $951.62 / $2,380.25 / $3,778.48	Professional		$951.62	$2,380.25	$3,778.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.20 / $1,625.20 / $1,625.20	Professional		$1,625.20	$1,625.20	$1,625.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,256.18 / $2,484.88 / $3,236.96	Professional		$1,256.18	$2,484.88	$3,236.96
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 $512.11 / $1,000.00 / $2,118.44	Professional		$512.11	$1,000.00	$2,118.44