Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $560.66 / $1,189.64 / $14,482.00	Facility		$560.66	$1,189.64	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.48 / $587.85 / $2,595.87	Professional		$535.48	$587.85	$2,595.87
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 $543.59 / $1,283.20 / $3,281.81	Professional		$543.59	$1,283.20	$3,281.81
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 $1,507.57 / $1,761.72 / $2,702.52	Facility		$1,507.57	$1,761.72	$2,702.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $850.46 / $2,301.05 / $2,614.83	Professional		$850.46	$2,301.05	$2,614.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $560.66 / $742.84 / $1,239.08	Facility		$560.66	$742.84	$1,239.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $560.66 / $1,136.77 / $11,100.00	Facility		$560.66	$1,136.77	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $592.58 / $1,177.13 / $4,284.32	Professional		$592.58	$1,177.13	$4,284.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $336.18 / $1,077.80	Professional		$66.47	$336.18	$1,077.80
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $560.66 / $719.28 / $1,239.08	Facility		$560.66	$719.28	$1,239.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,151.80 / $1,403.42 / $2,095.04	Professional		$1,151.80	$1,403.42	$2,095.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,722.47 / $1,722.47 / $4,754.80	Facility		$1,722.47	$1,722.47	$4,754.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,076.55 / $2,715.35 / $4,284.32	Professional		$1,076.55	$2,715.35	$4,284.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,845.55 / $1,845.55 / $1,845.55	Professional		$1,845.55	$1,845.55	$1,845.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,427.72 / $2,878.57 / $3,661.95	Professional		$1,427.72	$2,878.57	$3,661.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,240.00 / $9,882.00 / $12,631.00	Facility		$4,240.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $592.58 / $1,192.20 / $2,409.03	Professional		$592.58	$1,192.20	$2,409.03