Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.07 / $1,579.68 / $4,864.64	Facility		$523.07	$1,579.68	$4,864.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.79 / $745.64 / $3,001.00	Professional		$544.79	$745.64	$3,001.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.00 / $3,496.00 / $5,962.00	Facility		$1,905.00	$3,496.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.83 / $1,555.73 / $3,314.04	Professional		$733.83	$1,555.73	$3,314.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $574.54 / $791.21	Facility		$569.66	$574.54	$791.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $702.08 / $772.29 / $955.10	Professional		$702.08	$772.29	$955.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,024.82 / $2,366.16 / $3,629.75	Facility		$2,024.82	$2,366.16	$3,629.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.67 / $1,205.13 / $2,083.08	Professional		$635.67	$1,205.13	$2,083.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $612.87 / $954.31 / $2,106.23	Facility		$612.87	$954.31	$2,106.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.83 / $1,404.16 / $4,821.00	Facility		$642.83	$1,404.16	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $721.83 / $1,462.76 / $4,647.04	Professional		$721.83	$1,462.76	$4,647.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $437.90 / $1,383.00	Professional		$63.88	$437.90	$1,383.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $612.87 / $954.31 / $2,106.23	Facility		$612.87	$954.31	$2,106.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,337.92 / $1,815.82 / $2,532.19	Professional		$1,337.92	$1,815.82	$2,532.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,212.30 / $1,620.23 / $4,392.78	Facility		$1,212.30	$1,620.23	$4,392.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $726.19 / $3,018.15 / $5,675.84	Professional		$726.19	$3,018.15	$5,675.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,353.88 / $2,666.10 / $3,273.75	Professional		$1,353.88	$2,666.10	$3,273.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,960.00 / $4,155.00 / $5,865.00	Facility		$2,960.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.85 / $1,138.71 / $2,908.34	Professional		$703.85	$1,138.71	$2,908.34