Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.17 / $1,239.81 / $14,482.00	Facility		$329.17	$1,239.81	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.23 / $387.43 / $1,379.00	Professional		$305.23	$387.43	$1,379.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,183.00 / $3,483.00 / $5,962.00	Facility		$1,183.00	$3,483.00	$5,962.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.60 / $676.49 / $2,028.03	Professional		$323.60	$676.49	$2,028.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,507.48 / $1,507.48 / $1,507.48	Facility		$1,507.48	$1,507.48	$1,507.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $880.39 / $1,028.81 / $1,578.22	Facility		$880.39	$1,028.81	$1,578.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.88 / $1,347.47 / $1,531.21	Professional		$506.88	$1,347.47	$1,531.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $329.17 / $450.01 / $727.47	Facility		$329.17	$450.01	$727.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.17 / $686.60 / $4,142.85	Facility		$329.17	$686.60	$4,142.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $370.57 / $648.96 / $2,513.04	Professional		$370.57	$648.96	$2,513.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $197.63 / $664.06	Professional		$38.65	$197.63	$664.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $329.17 / $450.01 / $727.47	Facility		$329.17	$450.01	$727.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $674.05 / $821.30 / $1,226.05	Professional		$674.05	$821.30	$1,226.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,455.33 / $1,455.33 / $4,017.35	Facility		$1,455.33	$1,455.33	$4,017.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $611.50 / $1,607.00 / $2,513.04	Professional		$611.50	$1,607.00	$2,513.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $982.67 / $1,659.63 / $2,144.37	Professional		$982.67	$1,659.63	$2,144.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,367.00 / $3,088.30 / $4,295.00	Facility		$2,367.00	$3,088.30	$4,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.51 / $651.22 / $1,462.37	Professional		$366.51	$651.22	$1,462.37