Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.77 / $1,123.90 / $14,482.00	Facility		$529.77	$1,123.90	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.43 / $553.39 / $2,446.69	Professional		$505.43	$553.39	$2,446.69
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 $510.64 / $1,222.54 / $3,096.93	Professional		$510.64	$1,222.54	$3,096.93
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 $1,426.47 / $1,666.95 / $2,557.14	Facility		$1,426.47	$1,666.95	$2,557.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.85 / $2,174.30 / $2,470.80	Professional		$801.85	$2,174.30	$2,470.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $503.97 / $677.78 / $1,123.90	Facility		$503.97	$677.78	$1,123.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $503.97 / $1,059.48 / $14,246.00	Facility		$503.97	$1,059.48	$14,246.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $564.86 / $1,120.97 / $4,044.56	Professional		$564.86	$1,120.97	$4,044.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $330.75 / $1,052.55	Professional		$61.84	$330.75	$1,052.55
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $503.97 / $664.17 / $1,123.90	Facility		$503.97	$664.17	$1,123.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,087.45 / $1,325.02 / $1,977.99	Professional		$1,087.45	$1,325.02	$1,977.99
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 $1,017.26 / $2,559.30 / $4,044.56	Professional		$1,017.26	$2,559.30	$4,044.56
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,741.60 / $1,741.60 / $1,741.60	Professional		$1,741.60	$1,741.60	$1,741.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.53 / $2,667.26 / $3,460.28	Professional		$1,544.53	$2,667.26	$3,460.28
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 $557.58 / $1,074.04 / $2,328.96	Professional		$557.58	$1,074.04	$2,328.96