Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.88 / $1,596.53 / $8,121.46	Facility		$558.88	$1,596.53	$8,121.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.76 / $790.24 / $3,561.00	Professional		$563.76	$790.24	$3,561.00
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 $747.41 / $1,630.64 / $3,388.77	Professional		$747.41	$1,630.64	$3,388.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $607.50 / $612.99 / $842.24	Facility		$607.50	$612.99	$842.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $709.57 / $780.53 / $966.36	Professional		$709.57	$780.53	$966.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,043.74 / $2,388.27 / $3,663.67	Facility		$2,043.74	$2,388.27	$3,663.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.63 / $1,225.97 / $2,108.12	Professional		$695.63	$1,225.97	$2,108.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $650.55 / $1,004.41 / $2,128.71	Facility		$650.55	$1,004.41	$2,128.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $661.56 / $1,419.14 / $4,821.00	Facility		$661.56	$1,419.14	$4,821.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $745.90 / $1,348.76 / $4,608.00	Professional		$745.90	$1,348.76	$4,608.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $449.55 / $1,338.15	Professional		$63.88	$449.55	$1,338.15
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $650.55 / $1,004.41 / $2,128.71	Facility		$650.55	$1,004.41	$2,128.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,355.82 / $1,866.76 / $2,556.40	Professional		$1,355.82	$1,866.76	$2,556.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,293.41 / $1,728.63 / $4,682.16	Facility		$1,293.41	$1,728.63	$4,682.16
Quartz Facility/Professional Professional Modifier Low / Median / High Price $774.98 / $2,812.46 / $7,000.00	Professional		$774.98	$2,812.46	$7,000.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,371.27 / $2,722.67 / $3,310.73	Professional		$1,371.27	$2,722.67	$3,310.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,976.00 / $4,155.00 / $5,865.00	Facility		$2,976.00	$4,155.00	$5,865.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.81 / $1,167.54 / $2,788.16	Professional		$671.81	$1,167.54	$2,788.16