Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.41 / $1,318.07 / $14,482.00	Facility		$621.41	$1,318.07	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.04 / $651.85 / $2,902.32	Professional		$590.04	$651.85	$2,902.32
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 $606.57 / $1,434.03 / $3,641.59	Professional		$606.57	$1,434.03	$3,641.59
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 $1,663.47 / $1,943.89 / $2,981.98	Facility		$1,663.47	$1,943.89	$2,981.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.69 / $2,546.67 / $2,893.95	Professional		$911.69	$2,546.67	$2,893.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $621.41 / $804.04 / $1,373.32	Facility		$621.41	$804.04	$1,373.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $621.41 / $1,299.50 / $11,100.00	Facility		$621.41	$1,299.50	$11,100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $663.33 / $1,230.25 / $4,754.16	Professional		$663.33	$1,230.25	$4,754.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $381.78 / $1,224.20	Professional		$65.66	$381.78	$1,224.20
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $621.41 / $804.04 / $1,373.32	Facility		$621.41	$804.04	$1,373.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,280.50 / $1,560.24 / $2,329.13	Professional		$1,280.50	$1,560.24	$2,329.13
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 $1,155.73 / $3,035.90 / $4,754.16	Professional		$1,155.73	$3,035.90	$4,754.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,047.89 / $2,047.89 / $2,047.89	Professional		$2,047.89	$2,047.89	$2,047.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.27 / $3,141.76 / $4,052.85	Professional		$1,818.27	$3,141.76	$4,052.85
United Facility/Professional Facility Modifier Low / Median / High Price $6,073.00 / $9,882.00 / $12,631.00	Facility		$6,073.00	$9,882.00	$12,631.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.33 / $1,204.98 / $2,671.59	Professional		$663.33	$1,204.98	$2,671.59