Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.08 / $1,310.94 / $3,537.26	Facility		$339.08	$1,310.94	$3,537.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.08 / $545.37 / $1,087.01	Professional		$339.08	$545.37	$1,087.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $6,787.00 / $10,517.23	Facility		$1,183.00	$6,787.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.53 / $1,225.05 / $2,571.78	Professional		$590.53	$1,225.05	$2,571.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.05 / $370.71 / $529.75	Facility		$369.05	$370.71	$529.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $582.64 / $640.90 / $804.25	Professional		$582.64	$640.90	$804.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,701.31 / $1,988.12 / $3,049.83	Facility		$1,701.31	$1,988.12	$3,049.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.62 / $907.56 / $1,880.23	Professional		$457.62	$907.56	$1,880.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $403.89 / $745.78 / $1,768.50	Facility		$403.89	$745.78	$1,768.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $442.86 / $1,107.15 / $3,995.00	Facility		$442.86	$1,107.15	$3,995.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $678.00 / $1,293.02 / $3,031.28	Professional		$678.00	$1,293.02	$3,031.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $370.54 / $608.34 / $1,393.26	Professional		$370.54	$608.34	$1,393.26
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $403.89 / $745.78 / $1,768.50	Facility		$403.89	$745.78	$1,768.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $923.26 / $1,394.64 / $2,130.69	Professional		$923.26	$1,394.64	$2,130.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $778.70 / $1,040.72 / $1,920.28	Facility		$778.70	$1,040.72	$1,920.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $514.13 / $1,991.00 / $4,784.39	Professional		$514.13	$1,991.00	$4,784.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $910.41 / $1,715.92 / $2,751.44	Professional		$910.41	$1,715.92	$2,751.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,257.00 / $3,088.30 / $4,725.00	Facility		$2,257.00	$3,088.30	$4,725.00
United Facility/Professional Professional Modifier Low / Median / High Price $604.04 / $1,014.66 / $2,456.73	Professional		$604.04	$1,014.66	$2,456.73