Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.29 / $1,085.02 / $14,482.00	Facility		$511.29	$1,085.02	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.88 / $616.10 / $2,324.82	Professional		$499.88	$616.10	$2,324.82
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 $515.17 / $1,179.89 / $3,342.63	Professional		$515.17	$1,179.89	$3,342.63
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 $1,365.20 / $1,595.34 / $2,447.29	Facility		$1,365.20	$1,595.34	$2,447.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.78 / $2,104.66 / $2,391.66	Professional		$838.78	$2,104.66	$2,391.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $499.88 / $715.81 / $1,129.95	Facility		$499.88	$715.81	$1,129.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $511.29 / $1,062.40 / $11,598.00	Facility		$511.29	$1,062.40	$11,598.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.46 / $1,152.10 / $4,548.79	Professional		$614.46	$1,152.10	$4,548.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $301.29 / $1,000.88	Professional		$61.84	$301.29	$1,000.88
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $499.88 / $715.81 / $1,129.95	Facility		$499.88	$715.81	$1,129.95
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 $7,213.88 / $7,213.88 / $19,913.50	Facility		$7,213.88	$7,213.88	$19,913.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $984.67 / $2,721.24 / $4,548.79	Professional		$984.67	$2,721.24	$4,548.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,693.68 / $1,693.68 / $1,693.68	Professional		$1,693.68	$1,693.68	$1,693.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.80 / $3,349.42 / $3,349.42	Professional		$1,862.80	$3,349.42	$3,349.42
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 $608.39 / $1,152.10 / $2,456.96	Professional		$608.39	$1,152.10	$2,456.96